Atlantic Cardiology Group, LLP - Online Forms
Today is Thursday, December 13, 2018
Today's date:
December 13, 2018
Thursday, December 13, 2018
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Acute Myocardial Infarction Acute Myocardial Infarction
Congestive Heart Failure Congestive Heart Failure
High Cholesterol High Cholesterol
Atrial Arrhythmia Atrial Arrhythmia

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Online Forms
This pre-visit form will help you consolidate your medical history in preparation for your visit to our office. Please either complete this form online and print it, or print it and fill it out by hand. Please bring this form with you when visiting our office.

Note: Completing this form online WILL NOT retain any record of your personal information. It is designed solely for your convenience, to help utilize your time with us most productively. You will need to print a second copy if you want to keep a record of this information.


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