Patient Resources

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.

Form Name Link
New Patient Demographics Download
New Patient Medical History For Cardiology Services Download
New Patient Medical History For Vascular Services Download

Miscellaneous Forms

Form Name Link
Medical Record Release Download
Forms Completion Download
Consent Forms Download

Do You Need an Interpreter?

Form Name Link
Interpreter Services Download

Office Procedure Instructions

Form Name Link
Carotid, Vascular, Abdominal Ultrasound Download
Echocardiogram Download
Event Monitor Download
Holter Monitor Download
Nuclear Stress Test Download
Treadmill Stress Test Download
Vein Ablation Download

Electrophysiology Procedures

Form Name Link
Pacemaker Implant Instructions Download
NIPS Intructions Download
EP Study/Ablation Instructions Download
Bi-V Implant Instructions Download
Atrial Fibrillation Ablation Download

Vein Clinic Forms

Form Name Link
Consent Form Download


Lifestyle & Risk Reduction
African Americans and High BP Download
Cooking Healthy Download
Eating Out Download
Healthy Eating Download
High Blood Pressure Reduction Download
Losing Weight Download
Lowering Cholesterol Download
Low Salt Diet Download
Make Recipes Healthy Download
Monitoring Cholesterol, Blood Pressure,
and Weight
Physical Activity Download
Physically Active for Life Download
Reading Food Labels Download
Smoking Cessation Download
Smoking Cessation and Stress Download
Smoking Cessation and Weight Gain Download
Understanding Food Nutrition Labels Download


Billing Contact Number – 770/692-2399

Insurance Information

Our practice understands how complicated insurance issues can be to our patients. Please take note of the following:

  1. As a courtesy we will file insurance claims on your behalf.
  2. Please have your most current insurance information with you when visiting our office
  3. Please be aware that each insurance company has specialized plans, often tailored to specific organizations. Most insurance companies give our Billing Staff access to insurance company websites for general patient information. Such information is not always correct nor is it always current. It is the responsibility of each patient to verify their coverage with their insurance company.
  4. Please be aware that there may be times that insurance companies will certify procedures on the phone or on paper but will withhold payment at the time of the processing of the claim for a variety of reasons. Our Billing Staff is only as good as the information we receive and we have no control over how a given insurance company will process a claim. For that reason, we are not responsible for unpaid balances which might occur due to insurance company decisions, even if we received a pre certification prior to a given procedure. PRIOR AUTHORIZATION DOES NOT GUARANTEE PAYMENT.
  5. Please note, most HMO/managed care plans require a referral from your Primary Care Physician to provide benefit coverage for specialist services prior to the actual office visit. It is the patient’s responsibility to obtain a referral prior to your appointment. Your appointment may be rescheduled if a referral is not available at the time of your appointment.
  6. Waiving co-payments, coinsurance, or deductibles is a violation of our contract with our insurance carriers. For that reason, co-payments and balances are due at the time of service. For your convenience we accept credit/debit Visa, MasterCard, American Express, Discover as well as cash and checks.

If your insurance provider is not listed below, please call the phone number on your insurance card and ask if our practice is contracted with your insurance plan.

Our insurance plan participation includes, but is not limited to, the following carriers:

Assurant PPO
Blue Cross/Blue Shield of Georgia HMO/POS/PPO
Coventry Healthcare HMO/POS
Great West PPO
Kaiser MultiChoice Plan
Medicaid and Medicaid Replacement Plans All
Medicare All
Medicare Replacement Plans All
Southcare/First Health PPO
Tricare Prime, Standard
United Healthcare Open Access
Workers Compensation All


Regular maintenance medications take 24 hours to be called in, Controlled substances require physician approval and can take up 3 business days. Prescription refills received after 4:30pm will be called in the next business day.

This visit can take up to 90 minutes.

If your insurance plan requires a co-payment, you will be expected to pay each time you see the physician or have testing performed. The amount of your co-pay is noted on your insurance card under specialist designation. This amount may be higher than what you normally pay to your primary care physician.

The Nuclear Stress Test is a two part test. For timing purposes, you should consider this test to be an all-day procedure. Typically the first part of the test can take up to 2 hours. You will have a break and then come back for a second part that lasts approximately 30 minutes. The length of your break often depends on how many cases are scheduled that day but is usually about 3 hours. However, there could be some wait time associated with the fact that other patients are also in queue for this procedure.

No. Each patient will be treated individually based on their symptoms, family history, and previous test results. The physician will develop a treatment plan for each patient specifically.

We accept most major insurance plans, including Medicare, commercial and government products. For a partial listing, please click here

Yes, most surgeons require a cardiac clearance within 30 days of the surgery date. You will be examined by the physician and some additional tests may be needed to assess your risk. When scheduling a cardiac clearance, please allow adequate time for any testing to be completed. At least 2 weeks but no more than 4 weeks prior to surgery date is preferred.

There is a $15.00 missed appointment fee charged for all missed appointments. If you miss a Nuclear Stress Test and do not call, a fee of $130.00 is charged to cover the cost of your medicine.

For laboratory results, you will only be notified of abnormal findings, once the ordering physician has reviewed the results. For all other testing, you must schedule a follow up appointment with your doctor to receive results.

You must schedule a follow up appointment with your physician to receive test results. No results will be given over the phone.

There is a $15.00 charge per form to complete these papers. Please fill out a Forms Completion to help our staff have the needed details about your disability. We ask for 7-10 business days to complete this paperwork.

No. Your medication will be phoned in to the pharmacy within 24 hours of your request, 72 hours for controlled substances. Please check with your pharmacy to see if it has been filled.

Coricdin HBP is usually safe for patients with high blood pressure, but you should always check with your physician before starting any new medication.

Please let us know if you cannot afford your medication. There are often generic equivalents that can be prescribed and patient assistance programs available to help with medication costs.

Our physicians are on staff at most metro Atlanta hospitals so patients can choose and still be cared for by our practice. Please note certain procedures may only be done at a hospital equipped for that procedure.

We have a team of doctors so we can ensure that even if your doctor is delayed at the hospital in an emergency you may see one of our other cardiologist. If you only want to see a specific doctor please make sure our staff is aware so your account will be noted.

Lab results, medications, and other vital signs are available on our portal for patient viewing and printing. To get to our Patient Portal Click Here. If you need additional records you will need to complete a medical records release form at one of our locations. Processing time for copies of medical records is 7-10 business days. Cost for copies of medical records varies per copy.

Yes, please contact our billing department at 770-692-2399

Most of our locations are able to accommodate same day appointments.

Picture ID, insurance card and current medication bottles or a current list of the medication you are presently taking.



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