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Simulated Clinic Website: heartlandcardio.com

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https://www.heartlandcardio.com/patient-forms-and-intake

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Heartland Cardiology & Vascular Institute

Cardiology & Diagnostic Imaging (5 Locations) • Overland Park, KS • Accepting Medicare & Medicaid

Download Required Patient Registration & Medicare Forms

Please download and complete these PDF forms prior to your appointment at Heartland Cardiology & Vascular Institute:

Cardiovascular History & Medicare Registration Packet

File: Cardiology_New_Patient_Intake.pdf

📄 Download Patient Form (Cardiology_New_Patient_Intake.pdf)

Nuclear Echo & Stress Test Preparation & Consent

File: Nuclear_Stress_Test_Consent.pdf

📄 Download Patient Form (Nuclear_Stress_Test_Consent.pdf)

Cardiac Device Remote Monitoring Financial Agreement

File: Pacemaker_Remote_Monitoring_Agreement.pdf

📄 Download Patient Form (Pacemaker_Remote_Monitoring_Agreement.pdf)

Notice of Nondiscrimination & HIPAA Privacy Practices

File: Heartland_HIPAA_Section504_Notice.pdf

📄 Download Patient Form (Heartland_HIPAA_Section504_Notice.pdf)