Patient Information

For your convenience, we have provided the following information and resources for new and current patients. Please review the resources presented here. If you have difficulty finding the information you need, please contact us.

What to Bring

If you are a first-time patient, please plan on arriving early in order to complete a patient registration form. You may also print these forms using the links in the Patient Forms section. Please bring the following with you to your to the appointment:

Insurance card(s)
Photo ID
Referral forms (if required)
List of all prescription and over-the-counter medications that you are currently taking
Any required co-payment
Pertinent medical and surgical history information
X-ray films (if required)

Insurance and Payment Information

We are accepting new patients for Cardiovascular Evaluation who are insured through the Affordable Care Act (ACA) aka Obamacare. We are a provider for Medicare and most major insurance plans. Since we provide insurance billing, we encourage all patients to confirm their coverage prior to making an appointment. Co-payments are due at the time of the appointment. If the insurance company does not pay the full balance, or denies the claim, then any unpaid balance is due within 30 days following the appointment.

Please call us with any questions regarding which insurance plans we accept or other billing concerns. Insurance coverage and benefit questions should be directed to your insurance company.

Patient Forms

Name	Description	Download
Patient Information Form	General patient, emergency contact, and insurance information.
Patient Medical History Form	Detailed patient medical history information.
Review of Systems	Checklist of symptoms
Patient Authorization Form	Authorization form for benefits, financial agreements, disclosure and appointment policy
Nuclear Imaging Stress Test	Instructions for patient receiving nuclear imaging stress test

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