Request for Medical RecordsNeed to get a copy of your medical records? Fill out this request form to receive a copy of your Medical Records.
New patients are required to complete the following 4 online forms 1 week prior to their scheduled appointment.
Patient Registration FormEach new patient is required to complete this registration form prior to being seen by one of our specialists. If you plan on filling this form out at our office, please show up 1/2 hour prior to your appointment.
New Patient History and Physical FormYour medical history is very important as it helps to alert us to any potential problems that might interfere with your care. Please take the time to fill this form out completely and accurately. The information will be kept confidential. If you need help, our staff can assist you.
Authorization for Release of Medical InformationAuthorization form for Desert Cardiology Consultant's Medical Group to request your medical information from another facility and/or doctor to DCC.
Notice and Receipt of Privacy PracticesThis notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
These online forms are designed for your convenience. The forms are secure; your information will be kept confidential and viewed only by our practice staff and your physician. Please complete the appropriate form and click the ''Continue'' button.
Note: These forms are designed solely for your convenience, to help utilize your time with us most productively. If you have any problems or questions please contact us HERE.
