Changing Lives Every Day Patient Forms Changing Lives Every Day

Save some time in the doctor's office,
download this form, review the basic personal,
primary insurance company, secondary
supplemental insurance company
and authorization information. 

Patient Registration Form Premier Cardiology Patient Registration Form

Authorization to Release Medical Records

Premier Cardiology Medical Records Release Form

HIPPA Notice of Privacy Practices Form

Premier Cardiology Patient Registration Form

 Premier Cardiology & Vascular Associates.


Maitland Exchange Building

670 N. Orlando Avenue, Suite 1003

Maitland, Florida 32751


Office: 407-622-0793
  Fax: 866-362-3655

E-Mail Us at
for any Questions or Concerns.

Your information will be kept confidential and will be
viewed only by your doctor and our practice staff.


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Mark your calendar for April 6 for National Start! Walking Day - always the first Wednesday each April.

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