Cardiac physicians commonly see their patients pre-operatively to address risk factors. occupational therapy (OT) and physical therapy (PT) practitioners are often involved in a patient's care post-operatively, yet they do not typically screen their patients pre-operatively. The purpose of this project was to develop a screening tool to assess functional factors pre-operatively and to advocate for OT and PT practitioners' involvement in patient care post- surgery. Using a two-round Delphi survey technique, the therapy team received an 8-question survey to write questions they wanted patients to answer pre-operatively. Then, a 30-question screening tool was created to address a patient’s physical functioning, cognition, home set-up, support system, and goals pre-operatively. In addition to the screening tool development, the role of the therapy team was further defined to the patient and cardiovascular surgery physicians. Future research is needed to evaluate the correlation between length of stay and using the Cardiac Pre-Operative Screening Tool.