Cardiology and Vascular Associates, P.C.

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	Congestive Heart Failure
	Angina Pectoris, Unstable
	Acute Myocardial Infarction
	Atrial Arrhythmias
	Aortoiliac Disease
	Carotid Artery Disease
	Lower Extremity Disease
	Upper Extremity Disease
	Renal Artery Disease

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	Does alcohol have any heart benefits?
	Hearty Whole Grains

Online Forms

This pre-visit form will help you consolidate your medical history in preparation of 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 have to print a second copy if you want to keep a record of this information.

Fill out and print pre-visit form

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