In order to ensure that your visit is as stress-free and efficient as possible, we provide several forms here for you to download and complete at your leisure. Patients new to the practice are requested to fill out an information form (name/address/telephone etc.) and an insurance/financial authorization form. You are also asked to sign a form indicating that you have received a copy of our privacy policy. You will be provided with these forms in the office if you are unable to complete them in advance.

We have also provided test preparation instructions and consent forms. You may also wish to view our Frequently Asked Questions for additional information.

 

Download all the forms in one PDF file by clicking here (99Kb) or download individual forms below:

Patient Info Sheet (54Kb)

Financial / Authorization (17Kb)

Notice of Privacy Practices and Acknowledgement Form (46Kb)

Pre-Test Instructions for Stress Testing (10Kb)

Consent For Stress Testing Form (9Kb)

 

Note: To view the forms you must have Adobe Reader installed on your computer.

     

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Copyright © 2004 Scott J. Ratner, M.D., F.A.C.C., P.C. All rights reserved.