 |
| |
 |
| |
| Are you having difficulty viewing our online forms? Viewing these forms requires one of three programs. |
|
| You can identify which file formats are available for each online form by their corresponding icons. Use this reference guide to identify which file formats are available. |
| |
|
Click any of the above icons or product names to find more information on purchasing or downloading the associated product. Adobe Acrobat Reader is a free program. There is no download or installation required to view the Adobe FlashPaper version.
|
|
|
Whether you are a current or prospective patient at The Cardiovascular Group, this page will assist you in finding the information that will be helpful for you. If you have any questions about the online forms or any additional information you may need to bring to your appointment, please call our office for assistance. |
|
| |
|
|
| Form Description |
This online form provides consent to the use and disclosure of health information for treatment, payment, or healthcare operations. |
| |
|
|
|
|
| Form Description |
This online form provides helpful information prior to a cardiac catherization, permanent pacemaker or defibrillator. |
| |
|
|
|
|
| Form Description |
Please print, read carefully and fill out this form in order for The Cardiovascular Group to release your medical records to another medical practice.
Please return the completed form to our office.
The Cardiovascular Group
2410 Atherholt Road
Lynchburg, VA 24501
Fax number: (434) 544-2312 |
| |
|
|
|
|
| Form Description |
Please print, read carefully and fill out this form in order for The Cardiovascular Group to obtain your medical records from an outside medical practice.
Please return the completed form to your medical practice. The Cardiovascular Group can also contact your physician’s office once we have the completed form.
The Cardiovascular Group
2410 Atherholt Road
Lynchburg, VA 24501
Fax number: (434) 544-2312 |
| |
|
|
|
|
| Form Description |
| This form includes helpful information for the following procedures: |
| |
|
 |
|
|
|
|
|
| |
|
| Your report will be sent to your primary physician. He or she will advise you of the results. |
|
| |
|
|
| |
| |
|
Click on the titles and expand for more information & viewing options. 
