NAV: Service Line
Common Procedures
Online Forms
Whether you are a current or prospective patient at The Cardiovascular Group, this page will assist you in finding the information that will be helpful for you. If you have any questions about the online forms or any additional information you may need to bring to your appointment, please call our office for assistance.
Click on the titles and expand for more information & viewing options.
- Cardiac Test Instructions
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No detailed information available about this form. - Financial Assistance Form
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No detailed information available about this form. - HIPPA Form
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This online form provides consent to the use and disclosure of health information for treatment, payment, or healthcare operations. - Pre-Cath and Defibrillator Form
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This online form provides helpful information prior to a cardiac catherization, permanent pacemaker or defibrillator. - Release Medical Records (to another Doctor)
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Please print, read carefully and fill out this form in order for The Cardiovascular Group to release your medical records to another medical practice.Please return the completed form to our office.
The Cardiovascular Group
2410 Atherholt Road
Lynchburg, VA 24501
Fax number: (434) 544-2312View / Print the Medical Record Release Form (to another Doctor)
- Release Medical Records (to TCG)
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Please print, read carefully and fill out this form in order for The Cardiovascular Group to obtain your medical records from an outside medical practice.Please return the completed form to your medical practice. The Cardiovascular Group can also contact your physician's office once we have the completed form.
The Cardiovascular Group
2410 Atherholt Road
Lynchburg, VA 24501
Fax number: (434) 544-2312
