Patient Data Sheet

We our dedicated to providing our patients with prompt service.

As a courtesy, we will bill up to two insurance companies. To help us file your claim, please fill out the demographics sheet provided prior to your first appointment. Also, remember to bring your insurance card(s) to every visit.

Please click on this link to download the data sheet (92kb)

Please click on this link to download the data sheet (44k)

Patient Satisfaction Questionaire

Your experience at Advanced Heart Center is important to us.

The satisfaction of our patients is a key component in delivering quality health care. Our staff is committed to regularly reviewing its services to ensure they are responsive to your health needs.

Please click on this link to download the questionaire (56kb)

Medical Records Release

Medical information is routinely exchanged between healthcare professionals as deemed necessary by your healthcare provider to assure your safe, continuous care.

Please click on this link to download the medical records release (52kb)

 

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