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Cardiac Care Consultants

Convenient Office Hours and 24 Hour Hospital Coverage


Peoria Office:
(623) 815-2484
or 1-800-804-6061

Sun City West Office:
(623) 546-6700

or 1-800-804-6061

Wickenburg Office:
(623) 815-2484
or 1-800-804-6061

Cardiac Care Consultants

Our Medical Staff:
Vincent J. Nicchi
M.D., F.A.C.C.

Marc A. Petein
M.D., F.A.C.C.

Jeffrey L. Pakula
D.O., F.A.C.C.

Charanjit Kapoor
M.D., F.A.C.C.

Brian H. Perlmutter
M.D., PhD., F.A.C.C.

Mark A. Burns
M.D., F.A.C.C.,
F.R.C.P. (C)

Cardiac Care Consultants

 

FORMS to DOWNLOAD

At Cardiac Care Consultants, your healthcare is our top priority.
We are here for our patients.

For your convenience, we have various forms and instructions for you to download to your computer. Thereby if you are a new patient, you can print out and fill out any necessary forms in the Welcome Package below and bring them with you to your first visit. Thank you.

If you are visiting us for a test, please find the appropriate testing instructions for you in the links below.

WELCOME PACKET FORMS
1) Privacy Practices Notice
2a) Notice of Assignment of Benefits
2b) Notice of Privacy Practices
3) Patient's Medical History & Physical

RECORDS RELEASE FORMS
1a) Release of records TO Cardiac Care Consultants
1b) Release of records FROM Cardiac Care Consultants to another physician

TESTING INSTRUCTIONS to Download:
1) Stress Study
2) Vascular Study
3) Nuclear Stress Study
4) Nuclear Stress Study with ADENOSINE Infusion
5) Nuclear Stress Study with DOBUTAMINE Infusion
6) Nuclear Stress Study with LEXISCAN Infusion

Cardiac Care Consultants ..Cardiac Care Consultants


Insurance Billing:
We accept most major insurance plans and accept Medicare assignment.
We provide 2nd Opinion Insurance Billing.

Please provide 24-hour notification if you are unable to keep your appointment.