Cardiac Rehabilitation Enrollment Form

Streamline Cardiac Rehabilitation Patient Intake with Paperform

Cardiac rehabilitation programs play a vital role in helping patients recover from heart attacks, cardiac surgery, and other cardiovascular events. But getting patients enrolled efficiently—while capturing the detailed medical, lifestyle, and exercise information your team needs—can be challenging when you're juggling paper forms, PDFs, and fragmented systems.

This Cardiac Rehabilitation Enrollment Form template is designed specifically for healthcare providers, cardiac rehab clinics, and hospital wellness programs looking to modernize their patient intake process. Built with Paperform, it lets you collect comprehensive patient information—from cardiac event timelines and exercise tolerance to medication lists and nutritional counseling needs—all in one professional, easy-to-complete form.

Why Paperform for Cardiac Rehab Registration?

Paperform is trusted by healthcare providers worldwide for creating secure, compliant patient intake forms that feel welcoming and on-brand. Unlike rigid medical form tools, Paperform's doc-style editor lets you build forms that guide patients through complex health questions with clarity and compassion, using conditional logic to show only relevant follow-up questions based on their answers.

The form captures essential information including cardiac event history, current medications, exercise limitations, dietary preferences, and goals for recovery. Conditional fields adapt based on the patient's specific cardiac event type, ensuring you gather the right details without overwhelming the patient with unnecessary questions.

Once a patient submits their enrollment form, Stepper (stepper.io)—Paperform's AI-native workflow automation tool—can automatically route submissions to your clinical team, create patient records in your practice management system, schedule initial assessments, and send personalized welcome emails with program details. This means your cardiac rehab coordinators spend less time on manual data entry and more time supporting patient recovery.

For programs that require signed consent forms or treatment agreements, Papersign (papersign.com) integrates seamlessly to send eSignature requests immediately after enrollment, keeping all documentation linked to the original patient submission for a complete audit trail.

Built for Healthcare Teams That Care About Patient Experience

This template is ideal for cardiac rehabilitation centers, hospital-based wellness programs, cardiovascular clinics, and physical therapy practices offering specialized cardiac recovery services. Whether you're enrolling patients post-MI, post-bypass surgery, or managing chronic heart failure, this form gives you the structure and flexibility to deliver a smooth, professional enrollment experience that sets the tone for a successful recovery journey.

With Paperform's SOC 2 Type II compliance, encrypted data transmission, and secure storage, you can trust that sensitive patient health information is protected throughout the intake process, helping you maintain HIPAA-aligned workflows alongside your broader security protocols.

Start with this template, customize the questions to match your program's protocols, and create a cardiac rehabilitation enrollment process that's as caring as the treatment you provide.