Lake Success Location
Forest Hills Location
Richmond Hill Location
Here you will find our patient forms so that your first appointment process can be expedited and be even more stress-free. Once you have called to schedule your cardiac evaluation you will download the necessary patient forms on this page. The forms consist of patient demographics, medical history, past cardiac procedures and 6 quick sections of various patient information.
Also, you will download the Health Insurance Portability and Accountability Act (HIPAA) form. This document informs the patient of his/her rights to give, receive or communicate the patient’s medical information to themselves and/or a specific personal representative that the information is to be disclosed to. These forms are necessary to have completed for our staff and physicians to assist in your cardiac evaluation.
- New Patient Form
- Patient Registration Form
- HIPAA Acknowledgement Form
- Stress Test Instructions
- Stress Echo Test Instructions
- Instrucciones Para la Prueba de Fuerza Nuclear
- Instrucciones Para Prueba Eco Stress
We understand that your schedule may change and that emergencies arise. If you are unable to keep your appointment, we ask that you provide us with 24-hour notice. Please extend us this courtesy so that other patients may be seen.
We accept the following methods of payment; MasterCard, Visa, Discover, Cash and Check.