New patient information south denver cardiology electricity symbols ks2 worksheet

It will take approximately 15 minutes to fill out all forms. Please fill out all required and applicable fields and sign all forms at one time. When you have finished please click on yellow Confirm Signingtab on the left side of the page to send the form to our office. Forms can not be saved to come back to later. If you exit the page prior to completing all forms, you will have to start all over.

If you would like SDCA to either send your medical information to a specific entity OR request your medical information from another provider, please fill out and sign this form. Please be sure to indicate if records are to be released from our practice OR if records are to be obtained for your cardiologist’s review. Click on the link below to fill out and sign the form. Make sure to click on the Finish button when the form is complete and it will be automatically be set to our Medical Records Department.

If you are a new patient of Susan Buckley RD the Dietitian, please click below to down load the New Patient Nutrition Consultation form. (Only fill this out if you have a scheduled appointment with the Dietitian) Please bring it with you to your appointment.

We encourage you to make your appointments as far in advance as possible. We recognize the importance of your time and will make every effort to meet your scheduled appointment. We ask your understanding when medical emergencies may occasionally cause us to delay or reschedule your appointment.

Our switchboard operator will direct your call to the appropriate person during our normal office hours. Please be prepared to tell the operator which person or department you wish to speak with and the nature of your call so that it will be properly directed.

If your call is prompted by pain, acute discomfort, or feel the situation warrants an immediate response, please give the operator specific details so we can respond accordingly. If your call is not an emergency, the operator may forward you to the voice mail of the appropriate person. When leaving a message, please spell your name and give your phone number. Please be aware that our physicians are generally not available by phone. If you have a medical question, you will be directed to our nursing staff.

There is always a physician on call when our office is closed. However, we request that you make your calls for appointments or other routine business during normal business hours. If you need to make a call after hours to contact one of the doctors, our answering service will help you reach the physician on call. Please instruct the answering service that you wish to speak with the doctor on duty and leave your number. The doctor will respond as quickly as possible. Be prepared to accurately describe your problem and list the medicines you are taking.

Our business office representatives are always available to assist you with any questions you may have. Our business office telephone number is (303) 715-2244. We encourage you to bring any special needs to our attention. We’re here to help you!

Should your insurance carrier withhold payment or partial payment of your claim for any reason, we will be glad to assist you in obtaining an explanation from them. However, we cannot guarantee payment of your claim. Also, we cannot be responsible for negotiating fees or claims with insurance companies or any other entity. Patients are responsible for payment of medical care within a reasonable time, regardless of the status of the claim.

You will receive a monthly-itemized statement showing all charges up to and including the current month. These statements will cover all services provided, both in our office, and at the hospital. All patients with a current balance will continue to receive monthly statements until the account is cleared. A reminder: Please remember to bring your insurance card(s) with you for each visit to our office. Please notify us if your address, telephone number or insurance carrier changes at any time. Please be sure any necessary referrals are valid.

South Denver Cardiology Associates participates with Medicare and Medicaid patients, as well as those individuals with private insurance We also participate in most HMO and PPO Plans. Please contact our office to verify our participation in your plan.