PHYSICIANS

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AFFILIATIONS

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TREATMENTS

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SPECIALTIES

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CONDITIONS

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PATIENT RESOURCES

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Forms

Below you’ll find all the information you need to help you prepare for your appointment, obtain a referral, and request medical records.  Please contact your office location directly if you have any further questions.

QUESTIONS? CONTACT US.

ONLINE Or CALL 267.479.4103

 
 

Please fill out any appropriate forms before your visit

How to Prepare for your visit

In order to help make your visit a pleasant experience we are going to ask you to supply a few things to us in advance. We will be happy to retrieve any document from you past medical history. Please read to better understand any next steps.
Download
 

Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Download
 

Release of Medical Records Form

Authorize you to release your medical records to Cardiology Consultants of Philadelphia including but not limited to EKG, Stress Test, Cardiac Catheterization, Labs, Carotid Ultrasound, Echocardiogram, chest x-ray.
Download