COVID – 19 | CDC Precautions

Our clinic is following PPE precautions & maintaining social distancing
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Patient & Physician Forms

New Patients

Clinic Visits - please take a look at the Preparing For Your Visit Page before your appointment You can now complete the New Patient Packet fillable PDF online, save a copy to your computer (just in case), and print it to bring with you to your first visit.

Complete New Patient Packet
Paquete completo de paciente nuevo
Download Individual New Patient Forms
English
  1. COVID 19 Questionnaire
  2. New Patient Information
  3. PHI Patient Communication Form
  4. Patient Agreement in Office Policies
  5. Notice of Privacy Practices and Acknowledgement of Receipt
  6. Patient History
  7. Peripheral Artery Disease (PAD) Questionnaire
  8. Venous Insufficiency Screening
  9. List of Medications
Spanish
  1. Cuestionario COVID 19
  2. Informacion del nuevo paciente
  3. PHI Formulario de consentimiento para la comunicación de información médica protegida
  4. Acuerdo del paciente en las políticas de la oficina
  5. Aviso de prácticas de privacidad y acuse de recibo
  6. Historial del paciente
  7. Cuestionario sobre enfermedad arterial periférica (PAD)
  8. Prueba de detección de insuficiencia venosa
  9. Lista de medicamentos

Testing, Imaging, & Interventions Instructions

CDC: COVID Positive Guidelines
What to do if you're sick
Ambulatory Rhythm Monitoring
Pre & Post Instructions
Ankle Brachial Index (ABI)
Pre-Instructions
Arterial Duplex
Pre-Study Instructions
Cardiac Catheterization
Pre-Procedure Instruction
Post-Procedure Instructions
Carotid Duplex
Pre-Study Instructions
Coronary Atherectomy
Pre-Procedure Instructions
Post-Procedure Instructions
Echocardiogram (Echo)
Pre-Study Instructions
Electrocardiogram (EKG)
Pre-Instructions
Exercise Stress Test
Pre-Test Instructions
Impella
Pre-Procedure Instructions
Post-Procedure Instructions
Nuclear Cardiac Stress Test
Pre & Post Test Instructions
Percutaneous Coronary Intervention (PCI)
Pre-Procedure Instructions
Post-Procedure Instructions
Peripheral Angiogram
Pre-Study Instruction
Post-Study Instructions
Peripheral Arterial Angioplasty
Pre-Procedure Instructions
Post-Procedure Instructions
Peripheral Atherectomy
Pre-Procedure Instructions
Post-Procedure Instructions
Peripheral Venogram
Pre Test Instructions
Post Test Instructions
Renal Arterial Duplex
Pre-Study Instruction
Radiofrequency Venous Ablations
Pre Procedure Instructions
Post-Procedure Instructions
Stress Echocardiogram (Echo)
Pre-Test Instructions
Venoplasty (Vein Angioplasty)
Pre-Procedure Instructions
Post-Procedure Instructions
Venous Duplex & Reflux Studies
Pre-Instructions

Physician Forms

Physician Referral Form
Physician Referral Form
Peripheral Vascular Disease Form (Arterial)
PAD Questionnaire
Peripheral Vascular Disease Form (Venous)
Venous Insufficiency Screening