Patient Information
Welcome to The Cardiac & Vascular Interventional Group (CVIG). To ensure that you have the best treatment possible, we need to have a complete picture of your health as well as authorization to treat you.
If you are a new patient, please print and fill out the forms below. Bring the completed forms with you to your appointment.
- Patient Authorization to Use or Disclose PHI
- Informed Consent to Treatment
- Notice of Privacy Practices
- Medical History
- Patient Questionnaire
- Peripheral Vascular Questionnaire
If you are already part of The CVI Group Family, please print and fill out the forms below. Bring the completed forms with you to your appointment.
- Informed Consent to Treatment
- Notice of Privacy Practices (for your reference)
- Patient Questionnaire
- Peripheral Vascular Questionnaire
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 patients@thecvig.com.