The Patient Forms are to provide Denton Heart Group with general patient information, emergency contact information, and insurance information.
Each patient will be asked to fill out these documents and return them to our office 24 hours prior to your appointment. If the information is not received 24 hours prior to your appointment, you will have to reschedule the appointment.
You may download it now, print it, complete all the information, and return them to our office 24 hours prior to your appointment. The form is a PDF (portable document format) file which requires the free Adobe Reader.Downloadable Forms (Click below)Patient Health History FormPatient Consent for Professional ServicesNotice Regarding Physician OwnershipDisclosure of Medical/Financial Info to Friends, FamilyDHG Authorization to Release Medical Records FormGeneric Authorization to Release Medical Records form Financial Policy form Privacy Rights / HIPAA formFinancial Agreement for Nuclear Stress Testing
Monday - Friday
8:00 a.m. - 5:00 p.m