Rochester Hills (586) 698-1200 Washington Twp. (586) 677-4606 Sterling Heights (586) 698-1200
Cardiovascular Consultants P.C.
Call (586) 698-1200
New Patients

New Patient Forms

Cardiovascular Consultants welcomes you to our practice. We appreciate you allowing us to participate in your healthcare. To ensure your visit goes as smoothly as possible, please download, print, and complete the forms below.

Download Forms

New Patient Questionnaire

Your medical history and current health status
Download PDF ↓

Authorization to Receive Communications

Consent for CVC to contact you about your care
Download PDF ↓

Patient Information Demographic Form

Your contact, insurance, and demographic details
Download PDF ↓

Credit Card Authorization

Payment authorization for balances and fees
Download PDF ↓

Financial Statement

Our financial policies and your responsibilities
Download PDF ↓

Notice of Privacy Practices

How your health information is used and protected
Download PDF ↓

Before Your Visit

It is ideal to return the paperwork prior to your appointment by fax or mail. If you're unable to, please bring the completed forms with you on the day of your visit.

Please also bring:

  • A copy of your insurance card(s)
  • Any referral or authorization required by your insurance (if not sent in advance)
  • A list of your medications with dosages — or your actual pill bottles

Please arrive 20 minutes prior to your scheduled appointment time.

Confirmation & Cancellation

You will receive a confirmation call two days prior to your appointment. If you are unable to keep your appointment, we request a minimum of 24 hours notice to avoid a cancellation fee.

Questions? Contact us here or call during office hours.

Rochester Hills Cardiologist Clinic

1460 Walton Blvd STE 209, Rochester Hills, MI 48309
Give us a call: (586) 698-1200 · Fax: 586-698-1210

Washington Twp. Cardiologist Clinic

57850 Van Dyke Suite 400, Washington Twp., MI 48094
Phone: (586) 677-4606 · Fax: 586-677-4661

Thank you for selecting Cardiovascular Consultants to participate in your cardiology care. We look forward to having you as one of our patients.

If you are experiencing a medical emergency, call 911.
Call Us