For Patients

Your Appointment

Once your appointment has been scheduled, we ask that each patient fill out the provided forms below and bring the completed forms with you 15 minutes prior to your scheduled appointment to reduce your waiting time. We ask that you fill out the Registration Form, HIPAA Forms, Privacy Notice, Health Information Exchange Form, and Patient Portal Form. If you are unable to complete these forms prior to your visit, we ask that you arrive 30 minutes prior to your appointment to complete them at our office.

Our office requires patients to call by 3:00 PM the business day before to cancel any test. You may do so by calling our office at 301-631-6877.

Important Information

Co-pays are due at the time the service is rendered. We accept payment by credit cards (Visa, MasterCard, Discover and American Express), cash and check. We do accept payments by phone.

If your insurance company requires a referral, please make sure to have your referral with you at the time the service is rendered.

Here is a list of items that you should bring with you:

  • Insurance Card
  • Photo Identification
  • Referral Form (for HMO insurance if required)
  • All Current Medication Bottles
  • Pharmacy Information
  • Relevant Medical and Surgical History

Forms

Please fill out the Registration Form, HIPAA Form, and Patient Portal Agreement Form to bring to your appointment.


 Patient Registration Form

 Financial Policy

 Release of Information Form

 HIPPA Form

 Notice of Privacy Practices

Instructions

 

 Arterial Duplex Ultrasound

 Dobutamine Sestamibi Stress Test

 Persantine PET Stress Test

 Sestamibi Stress Test

 Ultrasound Aorta

 Dobutamine PET Stress Test

 Lexiscan-Adenosine Sestamibi Stress Test

 Segmental Blood Pressures with Exercise

 Stress Echo Protocol

 Sleep Medicine Physician Handout