Download Patient Forms | CardioVascular Health Clinic

At CardioVascular Health Clinic, we strive to provide you with the highest quality vascular and cardiovascular healthcare. Part of that commitment is ensuring a smooth and efficient patient experience.

Please download and complete the following patient packet before your next appointment to help us better understand your medical history and individual needs. This allows us to focus on your healthcare during your visit and reduce unnecessary waiting time.

Continue reading to access the form packet you need below.

New Patient Welcome Packet

Your initial visit is a comprehensive process, and we are dedicated to obtaining as much valuable information as possible. This includes personal details, medical history, and insurance information.

In your welcome packet, you will find a series of essential forms that will help us tailor your care and ensure a comfortable experience. These forms include:

Patient History: This form allows us to gain insight into your medical background and health concerns.
Medication List: Please list all the medications you are currently taking, including over-the-counter drugs like aspirin.
Family Health History: This helps us understand potential hereditary factors in your heart health.
Surgical History: Provide details about any past surgeries or medical procedures.
Release of Protected Health Information to Family Members and Persons Involved in Patient’s Care: Specify who is authorized to receive your health information.
Advance Directive Questionnaire: Share your preferences regarding medical decisions and care in advance.

During your initial visit, you may also undergo procedures such as an electrocardiogram, lab work, a thorough examination, and diagnostic tests. Please allow an entire day for your visit to facilitate this, if possible.

Download your welcome packet now.

Download and Complete Your Patient Packet

Please select all the appropriate forms you need above before your upcoming appointment and follow the instructions below for proper completion.

1. Click on the welcome packet link provided.

2. Save the packet to your computer or device.

3. Open the downloaded packet using a PDF reader.

4. Fill in the required information directly on each form.

5. Save the completed packet with your information.

6. Please bring the completed packet with you to your appointment.

If you have any questions or need assistance with any of our new patient forms, our friendly staff will gladly help you when you arrive at our facility.

Are you hoping to become a new patient but haven’t scheduled your initial consultation? Contact us now to get started. Your vascular and cardiovascular health matter to us.

Testimonials

Some of the nicest staff that I have ever dealt with!! They have been so incredibly awesome to my mom!! Would definitely recommend them to anyone!! Thank you so much for being so great with her!!

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Christy G.

The staff, the nurses, and Dr. Parsons were all amazing. Everything was simple and went well – very Bravo Zulu (military phrase meaning "well done"). In addition to the great staff at CardioVascular Health Clinic, the facilities were clean and well maintained. I have no complaints about anything. The whole experience was A1. I would recommend Dr. Parsons to anyone. He made a huge impact on my life.

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John W.

I’m about one month out and things are so much better. At my two week evaluation my symptom score had gone from a 27 to a 7, and I’m sure it’s even better now. That speaks volumes. Now that I’m post recovery, there is no incontinence, I go to the bathroom much less and there are no ED side effects like there are with other procedures. In regard to my quality of life, well, I don’t maintain my life based on my proximity to a bathroom anymore.

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Blaine P., M.D.

Professional staff working in a beautiful facility with great doctors who sincerely care about their patients. Without Dr. Schmidt's skill, I would have needed heart bypass surgery instead of a stent. Follow-up has been thorough. I can't recommend them highly enough.

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LeAnn H.

Dr. Jim Melton and all the staff are fantastic. He is an excellent surgeon and his team is GREAT!!!! I just had surgery at the surgery center, I have only great things to say about my experience. Without him I really don't think I would be here to write this. If you’re looking for a good cardiovascular team, they are a 5 star for sure.

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Susie H.

Dr. Parsons and staff are amazing. He truly listened to me from the consult. Staff showed genuine care for my progress post procedure. I had my follow up appointment today so satisfied with results. Blake made me comfortable from the start. He is an activist for uterine fibroids treatment beyond the standard.

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Tamara M.

Professional and caring staff. Dr. Smith is very knowledgeable and shows genuine concern for your personal health. I enjoyed the background music in the procedure room, it really adds to the relaxing atmosphere.

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David L.

Dr. John Schrader is the most personable doctor we know. He stays on top of my dads health care and is genuinely concerned about his health. We never leave his office with questions. He answers them all. Even questions we don’t think of. Always professional but never cold or bad bedside manner. In our opinion he is THE BEST around.
Thank you Dr Schrader.

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Kathy J.

I came to Dr. Warren by a self referral for mals when it took me 8yrs 50+ doctors and thousands of dollars spent on no answers. My first visit I was scared I was just going to be gaslighted just like the past however I was pleasantly shocked when Dr. Warren immediately believed me. She took the time to review many disk I had brought from past tests. She never once dismissed me and listened to ever word I had to say. She scheduled one last test to confirm the diagnosis then I was scheduled for surgery right away. Surgery was a success and I can’t thank her and her staff enough. Dr. Warren truly saved my life.

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Angie W.

Dr. Garner literally saved my life 18 months ago and I've followed him to his new practice with Cardiovascular Health. He explains things so clearly, listens and is just a very nice person. His staff is great, too! I highly recommend!

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D Watts