For New Patients To Our Practice:
If you have been referred to our practice and will be visiting us for the first time, we thank you for taking the opportunity to explore this site. Before coming into the office for your initial visit, we ask that you click on the link below to download and print out the necessary forms to establish yourself as a patient with us. Please take the time to fill these out before coming in, as this will streamline your initial visit…Thank you!
Important Documents
- New patient welcome letter 2021
- Patient Questionnaire 2021
- Medication List
- Palm Beach Cardiology Center NOTICE OF PRIVACY PRACTICES
- Records Release
- Statement Financial Responsibility
- Consent to Text and Email 2021
- Acknowledgement of Receipt of Privacy Practices 2021
- Consent for Use and Disclosure 2021
- Release of Information
- Privacy Notice
- Consent to Leave Messages on Voice Mail
Important Documents in Creole
- New patient welcome letter 2021 (CREOLE)
- Patient Questionnaire 2021 (CREOLE)
- Acknowledgement of Receipt of Privacy Practices 2021 (CREOLE)
- Consent for Use and Disclosure 2021 (CREOLE)
- Consent to Text and Email 2021 (CREOLE)
- Medication List (CREOLE)
- Privacy Notice (CREOLE)
- Records Release (CREOLE)
- Release of Information (CREOLE)
- Statement Financial Responsibility (CREOLE)
- Consent to Leave Messages on Voice Mail (CREOLE)
Important Documents in Spanish
- New patient welcome letter 2021 (SPANISH)
- Acknowledgement of Receipt of Privacy Practices 2021 (SPANISH)
- Consent for Use and Disclosure 2021 (SPANISH)
- Consent to Leave Messages on Voice Mail (SPANISH)
- Consent to Text and Email 2021 (SPANISH)
- Medication List (SPANISH)
- Privacy Notice (SPANISH)
- Records Release (SPANISH)
- Release of Information (SPANISH)
- Statement Financial Responsibility (SPANISH)