History Form for Cardiology Patients 
The Cardiology Patient History Form includes your contact information, symptoms, medical problems, previous hospitalization and surgeries, health habits, medications, allergies, and family history.  Please print, complete, and bring this form with you to your first appointment with your cardiologist.

History Form for Vascular and Vascular Surgery Patients 
The Vascular Patient History Form includes your contact information, symptoms, medical problems, previous hospitalization and surgeries, health habits, medications, allergies, and family history.  Please print, complete, and bring this form with you to your first appointment with your vascular physician.

Patient Registration Form
The Registration Form includes your contact information, emergency contact, employer, and insurance carrier.

Notice of Privacy Practices 
As our patient, we want you to know that we respect the privacy of your personal medical records and will do all we can to secure and protect that privacy. When it is appropriate or necessary, we provide the minimum necessary information only to those we feel are in need of your health care information regarding treatment, payment or health car operations, in order to provide health care that is in your best interest.  Please download and save a copy of this form for your records.

Patient Privacy Consent Form 
After reviewing the PrivacyPractices Form, please bring this signed form to your initial doctors appointment.