Academic Heart & Vascular, PLLC - Online Forms
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Academic Heart & Vascular

Academic Heart & Vascular

Royal Oak Woodhaven
Michigan

Academic Heart & Vascular

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Online Forms
 

Welcome to O'Neill, Grines, Safian, Goldstein, P.L.L.C. We are pleased that you have chosen us to serve your medical needs.

For your convenience, we have provided a "Patient History Form" in "Adobe PDF file format". Please print this form, fill it out and bring it with you on your first visit. There is also an "Authorization to Release Records Form" to use when you want us to send your medical records to a third party. This form must be printed out and sent or brought in to the office.

If you have any questions about the forms or any other information you may need to bring to your appointment, you may call our office for assistance at (248) 898-4163

 

  

 
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