Online Cardiac Rehabilitation Enrollment Form

Streamline Cardiac Rehabilitation Enrollment with Paperform

Managing cardiac rehabilitation enrollment remotely requires a secure, comprehensive solution that captures clinical data, patient consent, and equipment setup details—all while maintaining a professional, reassuring experience for patients recovering from cardiac events.

This Online Cardiac Rehabilitation Enrollment Form template is designed specifically for healthcare providers, cardiac rehabilitation centers, and telehealth platforms offering virtual cardiac care programs. Instead of juggling paper forms, phone calls, and scattered email chains, you can collect everything you need in one secure, HIPAA-aligned workflow.

Built for Virtual Cardiac Care Programs

This template captures essential patient information including medical history, current medications, stress test results, and exercise tolerance levels. It guides patients through dietary counseling consent, home monitoring equipment preferences, and emergency contact protocols—ensuring your clinical team has everything needed to design a safe, personalized rehabilitation plan.

With conditional logic built in, the form adapts based on patient responses. If someone indicates previous cardiac surgery, additional relevant questions appear. If they need equipment delivered, shipping details are collected automatically. This intelligent branching reduces confusion and ensures completeness without overwhelming patients.

Automate Patient Onboarding with Stepper

Once a patient submits their enrollment, you can use Stepper to automate your entire onboarding workflow. Route submissions to cardiologists for review, trigger equipment shipment requests to logistics teams, schedule initial telehealth consultations, and send personalized welcome emails with program materials—all without manual data entry.

Stepper can also integrate with your EHR system, CRM, or telehealth platform, ensuring patient data flows seamlessly into your existing clinical workflows while maintaining compliance and reducing administrative burden on your care team.

Secure, Professional, and Patient-Centered

Built on Paperform's SOC 2 Type II compliant platform, this template provides the security and professionalism your cardiac patients expect. The clean, calming design reduces anxiety during enrollment, while clear instructions guide patients through each section with confidence.

Whether you're a hospital-based cardiac rehab program expanding into telehealth, a specialized cardiovascular center, or a remote patient monitoring service, this template gives you the foundation to deliver exceptional virtual cardiac care from the very first touchpoint.