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Caring for the Heart of Berks County

...a tradition of trust since 1972

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New Patient Forms - are now FILLABLE!

  

Nine (9) Pages of Forms plus Six (6) pages of HIPAA Notice of Privacy Practices = Total of 15 pages.

 

 

Our New Patient Forms that will download after you click on the New Patient Forms button below are in a "fillable" .PDF file that cannot be submitted electronically from this Web site.

Instead, you must print out the forms and bring them with you on your first visit to our office, but please continue reading this page.

 

Our new "fillable" forms provide you the convenience of using your computer to type necessary information directly into these forms before you print them out to bring them to our office for your first visit. This saves time for both you and our office staff, and offers far higher accuracy in capturing your information correctly.

 

When you click on the New Patient Forms button below, you'll download the fillable .PDF file   with fifteen (15) pages - for your first visit to the doctor's office. 

 

After the forms have downloaded and you are viewing them on your computer monitor, if data entry fields where you can type necessary information are not highlighted, click on the words Highlight Existing Fields in the upper right-hand corner of the window.

Then click on any data entry line and start to type. Now WAIT, perhaps 30 seconds, until an initial warning box pops up telling you that no data can be saved.

Now proceed to complete all forms, and print them to bring to your first office visit!

 

You can download, read and/or print by using the FREE Adobe Acrobat Reader that must first be installed on your computer.

 

*If you don't have the FREE Adobe Acrobat Reader installed,

first CLICK the Get Adobe Reader® stamp below:

    

 

 

     New Patient Forms

 

 

 

 

2605 Keiser Blvd.   Wyomissing, PA 19610  (610) 685-8500

    Practice Limited  to Cardiovascular Diseases, with Active Staff Privileges at St. Joseph Medical Center, The Reading Hospital and Medical Center, HealthSouth Reading Rehabilitation Hospital, & Saint Catherine Medical Center

 Our doctors are staff cardiologists at St. Joseph Medical Center, named one of the nation's 50 Top Cardiovascular Hospitals

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