Prepare For Your Visit
On your first visit to our office, you will be asked to complete a few patient information forms. For you convenience, you may complete these forms prior to your visit, by accessing them at the link below, and bring the completed forms with you to your appointment. If you choose to complete these forms online, you may print the forms and complete by hand or fill them out online and print once completed. The online form can not be saved and transmitted electronically, so please remember to print it once you have completed it.
Please note, the questions we ask on the form will provide our staff with essential data on your health and medical history. You will also be asked questions concerning your contact information, insurance and billing information. There may be times when we will need to contact you, so please provide as complete information as possible, including a cell number and email address.
Established patients are required to update their information forms at least once a year. We will ask to see your insurance card and driver’s license on every visit and will scan your information into our system as needed to keep your information current.
Before coming to a clinic location for your first visit, the following form should be completed. Adult patients will need to fill out the patient information and pediatric patients should fill out the patient information and pediatric evaluation forms.
Patient Information (Adult and Pediatric) Form
The information form provides Cardiology Associates with your contact, insurance and and emergency contact information.
Pediatric Patient Evaluation Form
This evaluation form provides our pediatric team with pertinent medical history and information.
We make a sincere attempt to adhere to the office schedule as much as possible, however, at times, emergencies and delays are possible. Should we ask you to reschedule your appointment, your patience and understanding is greatly appreciated.
Should something arise where you are unable to make your scheduled appointment, please notify us as soon as possible, so that we may reschedule your appointment for a more convenient time.
Should your insurance plan (primary or secondary) require a referral from your primary care physician it is your responsibility to obtain the referral prior to your scheduled appointment. Please bring this paperwork to your appointment, if not, you may be required to reschedule. If a required referral is not obtained, you will be responsible for any services performed.