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Arizona Cardiovascular and Thoracic Surgeons Document Center
Scottsdale 480-661-0700 | Peoria 623-476-5190

The following documents regarding your healthcare are provided by Arizona Cardiovascular and Thoracic Surgeons and are to be completed prior to your visit. These documents help us fully understand your medical history. Knowing your medical history helps us give you the best care possible.

Please follow the link to the document you need based on your cardiovascular surgeon or thoracic surgeon. And then make sure to print, read and sign both the New Patient Demographics Form and the HIPPA Policy form. 

Patient History for Dr. Kathuria, Dr. Patel & Dr. Macherla

or

Patient History for Dr. Riley

New Patient Demographics Form for all doctors

HIPPA Policy – For all doctors - Please Print, Read & Sign The Last Page

If you have any questions regarding these healthcare documents, please don’t hesitate to call us at our Scottsdale or Peoria locations!

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EAST & WEST VALLEY LOCATIONS TO BETTER SERVE YOU & YOUR NEEDS:

SCOTTSDALE
8402 E Shea Blvd Suite 100
Scottsdale, AZ 85260
(click for directions)

480-661-0700

Monday - Friday
8:00am - 5:00pm
No Weekends or Holidays

PEORIA
13943 N. 91st Ave. Suite B-101
Peoria, AZ 85381
(click for directions)
623-476-5190

Monday, Wednesday, Thursday
8:00am - 5:00pm
No Weekends or Holidays

 
 
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