NEW PATIENT REGISTRATION

When you come to our office, please remember to bring the following:

• A list of all medication you are taking or their original containers
• Valid ID such as your driver’s license
• Health insurance card

To make your office visit go more smoothly, you may complete new patient forms in advance. Please select and print the attached forms, fill them out completely and bring them with you to your appointment.

We accept most PPO insurances:

• Medicare
• Anthem Blue Cross / Blue Shield
• United Healthcare
• Aetna
• Cigna
• CHAMPVA
• APWU
• Health Net
• Tricare
• Meritain Health
• AARP (Secondary)

Amendment by other covered entities

If another covered entity notifies Heart & Rhythm Clinic that an amendment of PHI has been made to a patient’s record, Heart & Rhythm Clinic will:

i. Make an amendment to the patient’s record or provide a link or reference to the location of the amendment.

ii. Heart & Rhythm Clinic must make reasonable efforts, within a reasonable timeframe to provide the amendment to persons, including business associates that Heart & Rhythm Clinic knows have the PHI that is the subject of the amendment and that may have relied, or could likely rely on the information to the determinant of the patient.

We do not accept any HMO plans.