Patient Information Forms:
Welcome to Tri-City Cardiology! We are committed to providing you with very good care. In order to obtain the information that our providers will need, we have outlined the necessary paperwork for you to complete prior to your visit.
Click on the packet below to print all of the forms that you will need for your initial visit with our practice.
If you need additional forms or just one individual form, click on the appropriate form below:
- Welcome Letter
- Patient Information Form
- Financial Policy
- Code of Conduct for Patients
- Authorization to Release Private Health Information (PHI)
- Peripheral Vascular Disease (PVD) Screening
- Medication Management
- Directions and Maps to Tri-City Cardiology Office Locations
- Patient Acknowledgement of Notice of Privacy Practice
- Authorization to Receive/Release Health Information
- Request to Amend Record