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|
Dr. Gupta’s Electrophysiology Procedures
|Pacemaker Implant Instructions||Download|
|EP Study/Ablation Instructions||Download|
|Bi-V Implant Instructions||Download|
Vein Clinic Forms