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Patient Information

Office Forms

• Authorization to Release Medical Records
• Patient Registration Form - save some time in the doctor's office; download this form; review the basic personal, primary insurance company, secondary/supplemental insurance company and authorization information.
• Patient History Form
• Patient Symptoms Form
• HIPPA Notice of Privacy Practices Form
• Patient Consent Form
• Patient Referral Form - this form provides referral information, accepted medical carriers, and patient instructions for Echocardiograms, Stress Test, Stress Echo and Nuclear Stress Testing.
• Patient Prep for Diagnostic Testing Form Nuclear Stress Testing - this form will provide the do's and don'ts associated with Nuclear Stress Testing. This also informs you on what to bring and what med's not to take 24hrs. prior to testing.
• Patient Prep for Diagnostic Testing Form Resting Muga Testing - this form will provide the do's and don'ts associated with Resting Muga Scans.

Participating Hospitals

• Fauquier Hospital
• INOVA Fairfax Hospital
• Prince William Health System

Patient Education Information

• Healthy-Links™ 2005 is a software program for your computer that provides important information regarding: Cardiovascular Disease, Diets, Exercise, Health Resources, Major Illness, Nutrition, and Problem Habits. This program is sponsored by NOVARTIS and produced and designed by InnoVision Networks, Inc. (207 Hallock Road Suite 107 Stony Brook , N.Y. 11790 1-888-893-6644)
  DOWNLOAD NOW (718K) | SEE SAMPLE SCREEN SHOT
  This program is for Windows computers.
  
  Instructions:
  Download file to your hard drive
  Decompress the file using WinZip
  Run the EXE installer file to install software
  
  You may also contact our office for a copy of this program on CD.

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