NEW TUSCAN CARDIO PATIENTS:
We appreciate the opportunity to participate in your health care. Please complete the following forms and bring them with you to your appointment.
We will need to scan a copy of your insurance card and driver’s license at each visit to ensure proper filing.
If your insurance is through a managed care program (HMO, EPO, POS), be sure to bring the appropriate authorization (referral) to see us. Without a referral, your appointment may need to be rescheduled or paid in full at the time of your visit. It is the patient’s responsibility to have a current referral on file for any future appointments.
The following items are essential to us in performing an effective evaluation:
- Past records from your referring doctor or previous Cardiologist.
- Please bring all your medications to each appointment.
- If you are being referred for evaluation of chest pain or arrhythmia, we will need prior EKGs to compare to the EKG in our office.
- If you are being referred for hypertension (high blood pressure), we need a list of all your medications tried by your referring doctor and blood pressure readings.
ADDITIONAL TUSCAN CARDIO FORMS:
Authorization to Release Medical Records
Notice of Privacy Practices
Your Nuclear Medicine Stress Test
Instructions – Stress Echo
No Show Appointments and Late Cancellations
Directions to Tuscan Cardiovascular Center