New Patient Forms
If you are a new patient to our practice please print and fill out the forms below and bring with you to your first appointment. Each patient should complete the new patient demographics form along with a medical history form. Please note there are different medical history forms depending on your type of visit. Remember to bring a photo identification card and your insurance card(s) with you to every visit, along with a list of current medications you are taking.
|New Patient Demographics||Download|
|New Patient Medical History For Cardiology Services||Download|
|New Patient Medical History For Vascular Services||Download|
|Medical Record Release||Download|
Do You Need an Interpreter?
Office Procedure Instructions
|Carotid, Vascular, Abdominal Ultrasound||Download|
|Nuclear Stress Test||Download|
|Treadmill Stress Test||Download|
Cardiac Catheterization Instructions
Please click on the link for the institution where your cardiac catheterization or other procedure is scheduled for detailed instructions about the day of your test.
|Wellstar Atlanta Medical South||Download|
|Southern Regional Medical Center||Download|
|Wellstar Spalding Regional Hospital||Download|
|Piedmont Henry Hospital||Download|
Dr. Gupta’s Electrophysiology Procedures
|Pacemaker Implant Instructions||Download|
|EP Study/Ablation Instructions||Download|
|Bi-V Implant Instructions||Download|
Vein Clinic Forms