At Cardiology & Interventional Vascular Associates, we understand you want to have your office visit run as smoothly as possible. To help facilitate this process, we have provided our new patient forms here for you to download and complete before your first visit.
Simply click on the links below to download. Print, complete, and bring the forms to your appointment. In order to protect your privacy, please do not e-mail forms.
- New Patient Registration Form: English | Español
- Consent to Treat: English | Español
- Authorization for Release of Patient Information: English | Español
We believe in enabling our patients to focus on maintaining good health and receiving quality care. CIVA accepts most major insurance plans, Medicare and various forms of payment, and will verify benefits prior to your appointment. Please call us at 214-369-3613 with any questions.
Pay a Bill
In order to use the payment portal to pay your bill, please have your statement and billing information readily accessible. For question or payments by phone, call us at 1-800-890-6034.
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