Dr Rohan B. Bhagwandeen
M.B.Ch.B(Natal) F.C.P(SA) F.R.A.C.P. F.C.S.A.N.Z.

Consultant & Interventional Cardiologist

Provider No: 096913DT
ABN: 645 8198 2445		

Patient details:	Location
All correspondence to:	
Name: <PtName>

DOB: <PtDoB>           Age:<PtAge> 

Address: <PtAddress>

Phone: <PtPhoneH>
Mobile: <PtPhoneMob>	64 Denison St
Hamilton NSW 2303

ph: 02 4929 2444
fx: 02 4929 2449

www.newcastleheart.com.au

Also at:
The Breast & Endocrine Centre
6-8 Sydney St
Gateshead 2290	
					
Test: <Test required>		Urgency: <Urgency>	

Clinical notes:

Referring Doctor: <DrName>
Provider number: <DrProviderNo>
Practice address: <DrAddress>

Copies to: 

Signature:	Date: <TodaysDate>	

Instructions for exercise stress test
The test will involve walking on a treadmill, which gradually increases in speed.
One of our staff members will explain the procedure in more detail as soon as you arrive.
Please feel free to ask any questions and share any concerns prior to the test.

Clothing
You will require loose fitting clothes and comfortable walking shoes or runners.

Medication
You should continue all your regular medication UNLESS specifically instructed by your doctor.
As you will be exercising, we suggest you eat only a light meal prior to the procedure and please avoid exercise on the day of your test.

Locations
64 Denison Street,
Hamilton NSW 2303.
(Parking at rear of rooms)	The Breast and Endocrine Centre,
6-8 Sydney St Gateshead 2290.