Patient Forms, Map and Directions to Our Dallas Office
Your first visit to The Cardiac and Vascular Interventional Group establishes a vital foundation for our relationship with you. During your first visit, we make sure to obtain important background information about your medical history and give you time to get to know your cardiologist.
To understand what to expect for your first visit to our practice, please read through this page. You'll find all the practical information you need, such as a map and directions to our office, practice hours, payment policies and more.
Mission Statement
Our practice is working together to realize a shared vision of excellence in cardiology.
To fulfill this mission, we are committed to:
- Listening to those we are privileged to serve.
- Earn the trust and respect of patients, profession and community.
- Exceed your expectations.
- Ensure a creative, challenging and compassionate professional environment.
- Strive for continuous improvement at all levels.
Patient Forms
If you are a new patient, please print and fill out the forms below. Bring the completed forms with you to your appointment.
- New Patient Form
- Patient Authorization to Use or Disclose PHI
- Informed Consent to Treatment
- Notice of Privacy Practices
- Medical History [PDF] [Online]
- Patient Questionnaire
- Peripheral Vascular Questionnaire
- Informed Consent to Treatment
- Notice of Privacy Practices (for your reference)
- Patient Questionnaire
- Peripheral Vascular Questionnaire
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
Please read the forms carefully and fill out each form completely. If you have questions, please call us at 469-437-3560. You can also send us an email at [email protected].
What To Expect
Being well-prepared for your appointment will ensure that the doctor has all necessary information to provide you the best possible care. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing our Patient Education section. Also, take some time to review our Providers page and familiarize yourself. We look forward to your first visit.