{"id":3710,"date":"2020-07-30T20:34:21","date_gmt":"2020-07-30T20:34:21","guid":{"rendered":"https:\/\/heartandvascularmed.com\/?page_id=3710"},"modified":"2020-08-02T23:54:39","modified_gmt":"2020-08-02T23:54:39","slug":"downloads","status":"publish","type":"page","link":"https:\/\/ahvmed.com\/?page_id=3710","title":{"rendered":"Downloads"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; full_height=&#8221;yes&#8221; thegem_fix_full_height=&#8221;true&#8221; el_class=&#8221;big-index top-block&#8221; css=&#8221;.vc_custom_1587390175875{margin-bottom: 0px !important;}&#8221; custom_css_code=&#8221;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&#8221;][vc_column]<div id=\"fullwidth-block-69e3a6cc36749\" class=\"fullwidth-block clearfix\"  style=\"\"><script type=\"text\/javascript\">if (typeof(gem_fix_fullwidth_position) == \"function\") { gem_fix_fullwidth_position(document.getElementById(\"fullwidth-block-69e3a6cc36749\")); }<\/script><div class=\"fullwidth-block-inner\"><div class=\"container\">[vc_column_text]<\/p>\n<div class=\"title-xlarge\"><span style=\"color: #2c2e3d;\"><span style=\"color: #64ad87;\">Patient<\/span> Forms<\/span><\/div>\n<p>[\/vc_column_text]<div class=\"clearboth\"><\/div><style>#thegem-divider-69e3a6cc36787 {margin-top: 80px !important;}<\/style><div id=\"thegem-divider-69e3a6cc36787\" class=\"gem-divider  hide-on-mobile\" style=\"\" ><\/div><\/div><\/div><\/div>[vc_row_inner equal_height=&#8221;yes&#8221; content_placement=&#8221;middle&#8221;][vc_column_inner width=&#8221;5\/12&#8243; offset=&#8221;vc_col-lg-5 vc_col-md-5 vc_hidden-xs&#8221; css=&#8221;.vc_custom_1585656290346{background-image: url(https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/03\/blocks-image-188.png?id=1426) !important;background-position: 0 0 !important;background-repeat: repeat !important;}&#8221;][\/vc_column_inner][vc_column_inner width=&#8221;7\/12&#8243; disable_custom_paddings_tablet=&#8221;true&#8221; disable_custom_paddings_mobile=&#8221;true&#8221; css=&#8221;.vc_custom_1585661614151{padding-left: 30px !important;}&#8221;]<div class=\"clearboth\"><\/div><style>#thegem-divider-69e3a6cc367ae {margin-top: -9px !important;}<\/style><div id=\"thegem-divider-69e3a6cc367ae\" class=\"gem-divider  \" style=\"\" ><\/div>[vc_column_text]<\/p>\n<div class=\"styled-subtitle\"><span style=\"color: #000000; display: inline-block; max-width: 600px;\">In order to make your visit with us more convenient, we have included some important forms for you to complete. Please complete these forms at your convenience. You can print and bring it with you when you come for your appointment.<\/span><\/div>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner el_class=&#8221;backword&#8221; css=&#8221;.vc_custom_1585661604055{margin-top: 0px !important;margin-bottom: 0px !important;padding-top: 20px !important;padding-bottom: 0px !important;padding-left: 50px !important;}&#8221;][vc_column_text css_animation=&#8221;none&#8221;]<\/p>\n<div class=\"title-xlarge\" style=\"text-align: right; font-size: 450px; line-height: 0; text-transform: none;\"><span style=\"color: #f7f7f7;\">forms<\/span><\/div>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_column_text]\r\n\r\n\t<a href=\"#\"class=\"sld_scrollToTop\">Scroll To Top<\/a>\r\n\r\n<!--  Starting Simple Link Directory Plugin Output -->\r\n\r\n<div class=\"qcopd_embed_container sld-top-area\">\r\n\r\n\t        <div class=\"sld-half\">\r\n            <form id=\"live-search\" action=\"\" class=\"styled\" method=\"post\">\r\n\t\t\t\t                <input type=\"text\" class=\"text-input sld-search sld_search_filter\" placeholder=\"Live Search Items\"\/>\r\n            <\/form>\r\n        <\/div>\r\n\t\r\n\r\n\r\n<a class=\"button-link js-open-modal cls-embed-btn\" href=\"#\" data-modal-id=\"popup\"\r\n           data-url=\"https:\/\/ahvmed.com\/embed-link\"\r\n           data-order=\"ASC\"\r\n           data-mode=\"one\"\r\n           data-list-id=\"3922\"\r\n           data-column=\"2\"\r\n           data-style=\"style-1\"\r\n           data-category=\"\" \r\n\t\t   data-credittitle=\"Advanced Heart and Vascular Medicine\"\r\n           data-creditlink=\"https:\/\/ahvmed.com\"> \r\n\t\t\tShare List\t\t   <i class=\"fa fa-share-alt\"><\/i> \r\n\t\t   \t\t   \r\n\t\t   <\/a>\r\n\r\n\r\n<\/div>\r\n<div class=\"qcld-main-container-style-1\"><div class=\"qcopd-list-wrapper\" ><div id=\"opd-list-holder\" class=\"qc-grid qcopd-list-holder opd-list-holder-style-1\">\r\n\t\t\r\n\r\n\t\t<div id=\"qcopd-list-1-3922\" class=\"qc-grid-item qcopd-list-column opd-column-1 style-1 opd-list-id-3922\">\r\n\r\n\t\t\t<div class=\"qcopd-single-list-1\">\r\n\t\t\t\t\r\n\t\t\t\t<h2>\r\n\t\t\t\t\tPatient Forms\t\t\t\t<\/h2>\r\n\t\t\t\t<ul class=\"ca-menu\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<li id=\"item-3922-1\" style=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<!-- List Anchor -->\r\n\t\t\t\t\t\t<a class=\"qcld-con-list-img\"  href=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/Self-Assessment-Screening.pdf\" target=\"_blank\">\r\n\r\n\t\t\t\t\t\t\t<!-- Image, If Present -->\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ca-icon list-img-1\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img src=\"https:\/\/ahvmed.com\/wp-content\/uploads\/2020\/08\/pandemic-covid-19-coronavirus-unrecognizable-docto-FZCXN8G-150x150.jpg\" alt=\"Self-Assessment &amp; Screening form\">\r\n\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t\t<a class=\"qcld-con-list\"  href=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/Self-Assessment-Screening.pdf\" target=\"_blank\">\r\n\r\n\t\t\t\t\t\t\t<div class=\"qcld-sld-content-dividar visible\"><\/div>\r\n\t\t\t\t\t\t\t<!-- Link Text -->\r\n\t\t\t\t\t\t\t<div class=\"ca-content\">\r\n                                <h3 class=\"ca-main subtitle-present\">\r\n\t\t\t\t\t\t\t\tSelf-Assessment &amp; Screening form                                <\/h3>\r\n                                \t                                <p class=\"ca-sub\">\r\n\t                                DOWNLOAD AND PRINT\t                                <\/p>\r\n\t                                                        <\/div>\r\n\r\n\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<!-- upvote section -->\r\n\t\t\t\t\t\t\t<div class=\"upvote-section style-1-upvote-section\">\r\n\t\t\t\t\t\t\t\t<span data-post-id=\"3922\" data-item-title=\"Self-Assessment &amp; Screening form\" data-item-link=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/Self-Assessment-Screening.pdf\" class=\"upvote-btn upvote-on\">\r\n\t\t\t\t\t\t\t\t\t<i class=\"fa fa-thumbs-up\"><\/i>\r\n\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t<span class=\"upvote-count\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<!-- \/upvote section -->\r\n\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<\/li>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<li id=\"item-3922-2\" style=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<!-- List Anchor -->\r\n\t\t\t\t\t\t<a class=\"qcld-con-list-img\"  href=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/PHONE-MESSAGE-CONSENT-FORM_.pdf\" target=\"_blank\">\r\n\r\n\t\t\t\t\t\t\t<!-- Image, If Present -->\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ca-icon list-img-1\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img src=\"https:\/\/ahvmed.com\/wp-content\/uploads\/2020\/08\/business-executives-show-their-approval-by-raising-RAR48GE-150x150.jpg\" alt=\"PHONE MESSAGE CONSENT\">\r\n\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t\t<a class=\"qcld-con-list\"  href=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/PHONE-MESSAGE-CONSENT-FORM_.pdf\" target=\"_blank\">\r\n\r\n\t\t\t\t\t\t\t<div class=\"qcld-sld-content-dividar visible\"><\/div>\r\n\t\t\t\t\t\t\t<!-- Link Text -->\r\n\t\t\t\t\t\t\t<div class=\"ca-content\">\r\n                                <h3 class=\"ca-main subtitle-present\">\r\n\t\t\t\t\t\t\t\tPHONE MESSAGE CONSENT                                <\/h3>\r\n                                \t                                <p class=\"ca-sub\">\r\n\t                                DOWNLOAD AND PRINT\t                                <\/p>\r\n\t                                                        <\/div>\r\n\r\n\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<!-- upvote section -->\r\n\t\t\t\t\t\t\t<div class=\"upvote-section style-1-upvote-section\">\r\n\t\t\t\t\t\t\t\t<span data-post-id=\"3922\" data-item-title=\"PHONE MESSAGE CONSENT\" data-item-link=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/PHONE-MESSAGE-CONSENT-FORM_.pdf\" class=\"upvote-btn upvote-on\">\r\n\t\t\t\t\t\t\t\t\t<i class=\"fa fa-thumbs-up\"><\/i>\r\n\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t<span class=\"upvote-count\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<!-- \/upvote section -->\r\n\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<\/li>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<li id=\"item-3922-3\" style=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<!-- List Anchor -->\r\n\t\t\t\t\t\t<a class=\"qcld-con-list-img\"  href=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/history.pdf\" target=\"_blank\">\r\n\r\n\t\t\t\t\t\t\t<!-- Image, If Present -->\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ca-icon list-img-1\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img src=\"https:\/\/ahvmed.com\/wp-content\/uploads\/2020\/08\/caucasian-man-doctor-going-over-a-patient-history-EM4ZW4N-150x150.jpg\" alt=\"FAMILY HISTORY\">\r\n\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t\t<a class=\"qcld-con-list\"  href=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/history.pdf\" target=\"_blank\">\r\n\r\n\t\t\t\t\t\t\t<div class=\"qcld-sld-content-dividar visible\"><\/div>\r\n\t\t\t\t\t\t\t<!-- Link Text -->\r\n\t\t\t\t\t\t\t<div class=\"ca-content\">\r\n                                <h3 class=\"ca-main subtitle-present\">\r\n\t\t\t\t\t\t\t\tFAMILY HISTORY                                <\/h3>\r\n                                \t                                <p class=\"ca-sub\">\r\n\t                                DOWNLOAD AND PRINT\t                                <\/p>\r\n\t                                                        <\/div>\r\n\r\n\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<!-- upvote section -->\r\n\t\t\t\t\t\t\t<div class=\"upvote-section style-1-upvote-section\">\r\n\t\t\t\t\t\t\t\t<span data-post-id=\"3922\" data-item-title=\"FAMILY HISTORY\" data-item-link=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/history.pdf\" class=\"upvote-btn upvote-on\">\r\n\t\t\t\t\t\t\t\t\t<i class=\"fa fa-thumbs-up\"><\/i>\r\n\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t<span class=\"upvote-count\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<!-- \/upvote section -->\r\n\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<\/li>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<li id=\"item-3922-4\" style=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<!-- List Anchor -->\r\n\t\t\t\t\t\t<a class=\"qcld-con-list-img\"  href=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/Review-of-Systems.pdf\" >\r\n\r\n\t\t\t\t\t\t\t<!-- Image, If Present -->\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ca-icon list-img-1\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img src=\"https:\/\/ahvmed.com\/wp-content\/uploads\/2020\/07\/doctor-hands-with-cardiogram-and-laptop-at-clinic-P3P8CQV-150x150.jpg\" alt=\"REVIEW SYSTEMS FORM\">\r\n\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t\t<a class=\"qcld-con-list\"  href=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/Review-of-Systems.pdf\" >\r\n\r\n\t\t\t\t\t\t\t<div class=\"qcld-sld-content-dividar visible\"><\/div>\r\n\t\t\t\t\t\t\t<!-- Link Text -->\r\n\t\t\t\t\t\t\t<div class=\"ca-content\">\r\n                                <h3 class=\"ca-main subtitle-present\">\r\n\t\t\t\t\t\t\t\tREVIEW SYSTEMS FORM                                <\/h3>\r\n                                \t                                <p class=\"ca-sub\">\r\n\t                                DOWNLOAD AND PRINT\t                                <\/p>\r\n\t                                                        <\/div>\r\n\r\n\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<!-- upvote section -->\r\n\t\t\t\t\t\t\t<div class=\"upvote-section style-1-upvote-section\">\r\n\t\t\t\t\t\t\t\t<span data-post-id=\"3922\" data-item-title=\"REVIEW SYSTEMS FORM\" data-item-link=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/Review-of-Systems.pdf\" class=\"upvote-btn upvote-on\">\r\n\t\t\t\t\t\t\t\t\t<i class=\"fa fa-thumbs-up\"><\/i>\r\n\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t<span class=\"upvote-count\">\r\n\t\t\t\t\t\t\t\t\t1\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<!-- \/upvote section -->\r\n\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<\/li>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<li id=\"item-3922-5\" style=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<!-- List Anchor -->\r\n\t\t\t\t\t\t<a class=\"qcld-con-list-img\"  href=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/PATIENT-INFO.pdf\" target=\"_blank\">\r\n\r\n\t\t\t\t\t\t\t<!-- Image, If Present -->\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ca-icon list-img-1\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img src=\"https:\/\/ahvmed.com\/wp-content\/uploads\/2020\/08\/cropped-of-nutritionist-doctor-consultating-patien-UD7PFJ7-150x150.jpg\" alt=\"PATIENT INFORMATION\">\r\n\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t\t<a class=\"qcld-con-list\"  href=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/PATIENT-INFO.pdf\" target=\"_blank\">\r\n\r\n\t\t\t\t\t\t\t<div class=\"qcld-sld-content-dividar visible\"><\/div>\r\n\t\t\t\t\t\t\t<!-- Link Text -->\r\n\t\t\t\t\t\t\t<div class=\"ca-content\">\r\n                                <h3 class=\"ca-main subtitle-present\">\r\n\t\t\t\t\t\t\t\tPATIENT INFORMATION                                <\/h3>\r\n                                \t                                <p class=\"ca-sub\">\r\n\t                                DOWNLOAD AND PRINT\t                                <\/p>\r\n\t                                                        <\/div>\r\n\r\n\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<!-- upvote section -->\r\n\t\t\t\t\t\t\t<div class=\"upvote-section style-1-upvote-section\">\r\n\t\t\t\t\t\t\t\t<span data-post-id=\"3922\" data-item-title=\"PATIENT INFORMATION\" data-item-link=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/PATIENT-INFO.pdf\" class=\"upvote-btn upvote-on\">\r\n\t\t\t\t\t\t\t\t\t<i class=\"fa fa-thumbs-up\"><\/i>\r\n\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t<span class=\"upvote-count\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<!-- \/upvote section -->\r\n\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<\/li>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<li id=\"item-3922-6\" style=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<!-- List Anchor -->\r\n\t\t\t\t\t\t<a class=\"qcld-con-list-img\"  href=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/ACKNOWLEDGEMENT-OF-RECEIPT-OF-NOTICE-OF-PRIVACY-PRACTICES.pdf\" target=\"_blank\">\r\n\r\n\t\t\t\t\t\t\t<!-- Image, If Present -->\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ca-icon list-img-1\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img src=\"https:\/\/ahvmed.com\/wp-content\/uploads\/2020\/07\/female-doctor-using-her-digital-tablet-in-the-offi-9QJ6ZPE-150x150.jpg\" alt=\"ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES\">\r\n\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t\t<a class=\"qcld-con-list\"  href=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/ACKNOWLEDGEMENT-OF-RECEIPT-OF-NOTICE-OF-PRIVACY-PRACTICES.pdf\" target=\"_blank\">\r\n\r\n\t\t\t\t\t\t\t<div class=\"qcld-sld-content-dividar visible\"><\/div>\r\n\t\t\t\t\t\t\t<!-- Link Text -->\r\n\t\t\t\t\t\t\t<div class=\"ca-content\">\r\n                                <h3 class=\"ca-main subtitle-present\">\r\n\t\t\t\t\t\t\t\tACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES                                <\/h3>\r\n                                \t                                <p class=\"ca-sub\">\r\n\t                                DOWNLOAD AND PRINT\t                                <\/p>\r\n\t                                                        <\/div>\r\n\r\n\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<!-- upvote section -->\r\n\t\t\t\t\t\t\t<div class=\"upvote-section style-1-upvote-section\">\r\n\t\t\t\t\t\t\t\t<span data-post-id=\"3922\" data-item-title=\"ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES\" data-item-link=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/ACKNOWLEDGEMENT-OF-RECEIPT-OF-NOTICE-OF-PRIVACY-PRACTICES.pdf\" class=\"upvote-btn upvote-on\">\r\n\t\t\t\t\t\t\t\t\t<i class=\"fa fa-thumbs-up\"><\/i>\r\n\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t<span class=\"upvote-count\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<!-- \/upvote section -->\r\n\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<\/li>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<li id=\"item-3922-7\" style=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<!-- List Anchor -->\r\n\t\t\t\t\t\t<a class=\"qcld-con-list-img\"  href=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/PAST-MEDICAL-AND-SURGICAL-HISTORY.pdf\" target=\"_blank\">\r\n\r\n\t\t\t\t\t\t\t<!-- Image, If Present -->\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ca-icon list-img-1\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img src=\"https:\/\/ahvmed.com\/wp-content\/uploads\/2018\/12\/5-1-1-150x150.jpg\" alt=\"PAST MEDICAL AND SURGICAL HISTORY\">\r\n\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t\t<a class=\"qcld-con-list\"  href=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/PAST-MEDICAL-AND-SURGICAL-HISTORY.pdf\" target=\"_blank\">\r\n\r\n\t\t\t\t\t\t\t<div class=\"qcld-sld-content-dividar visible\"><\/div>\r\n\t\t\t\t\t\t\t<!-- Link Text -->\r\n\t\t\t\t\t\t\t<div class=\"ca-content\">\r\n                                <h3 class=\"ca-main subtitle-present\">\r\n\t\t\t\t\t\t\t\tPAST MEDICAL AND SURGICAL HISTORY                                <\/h3>\r\n                                \t                                <p class=\"ca-sub\">\r\n\t                                DOWNLOAD AND PRINT\t                                <\/p>\r\n\t                                                        <\/div>\r\n\r\n\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<!-- upvote section -->\r\n\t\t\t\t\t\t\t<div class=\"upvote-section style-1-upvote-section\">\r\n\t\t\t\t\t\t\t\t<span data-post-id=\"3922\" data-item-title=\"PAST MEDICAL AND SURGICAL HISTORY\" data-item-link=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/PAST-MEDICAL-AND-SURGICAL-HISTORY.pdf\" class=\"upvote-btn upvote-on\">\r\n\t\t\t\t\t\t\t\t\t<i class=\"fa fa-thumbs-up\"><\/i>\r\n\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t<span class=\"upvote-count\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<!-- \/upvote section -->\r\n\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<\/li>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<li id=\"item-3922-8\" style=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<!-- List Anchor -->\r\n\t\t\t\t\t\t<a class=\"qcld-con-list-img\"  href=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/Financial-Policy.pdf\" target=\"_blank\">\r\n\r\n\t\t\t\t\t\t\t<!-- Image, If Present -->\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ca-icon list-img-1\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img src=\"https:\/\/ahvmed.com\/wp-content\/uploads\/2020\/08\/doctor-wearing-gloves-P7UDKES-150x150.jpg\" alt=\"Financial Policy\">\r\n\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t\t<a class=\"qcld-con-list\"  href=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/Financial-Policy.pdf\" target=\"_blank\">\r\n\r\n\t\t\t\t\t\t\t<div class=\"qcld-sld-content-dividar visible\"><\/div>\r\n\t\t\t\t\t\t\t<!-- Link Text -->\r\n\t\t\t\t\t\t\t<div class=\"ca-content\">\r\n                                <h3 class=\"ca-main subtitle-present\">\r\n\t\t\t\t\t\t\t\tFinancial Policy                                <\/h3>\r\n                                \t                                <p class=\"ca-sub\">\r\n\t                                DOWNLOAD AND PRINT\t                                <\/p>\r\n\t                                                        <\/div>\r\n\r\n\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<!-- upvote section -->\r\n\t\t\t\t\t\t\t<div class=\"upvote-section style-1-upvote-section\">\r\n\t\t\t\t\t\t\t\t<span data-post-id=\"3922\" data-item-title=\"Financial Policy\" data-item-link=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/Financial-Policy.pdf\" class=\"upvote-btn upvote-on\">\r\n\t\t\t\t\t\t\t\t\t<i class=\"fa fa-thumbs-up\"><\/i>\r\n\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t<span class=\"upvote-count\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<!-- \/upvote section -->\r\n\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<\/li>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<li id=\"item-3922-9\" style=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<!-- List Anchor -->\r\n\t\t\t\t\t\t<a class=\"qcld-con-list-img\"  href=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2021\/01\/AHVM_Notice-of-Privacy-Practices.pdf\" target=\"_blank\">\r\n\r\n\t\t\t\t\t\t\t<!-- Image, If Present -->\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ca-icon list-img-1\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img src=\"https:\/\/ahvmed.com\/wp-content\/uploads\/2018\/12\/1-9-150x150.jpg\" alt=\"Notice of Privacy Practices\">\r\n\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t\t<a class=\"qcld-con-list\"  href=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2021\/01\/AHVM_Notice-of-Privacy-Practices.pdf\" target=\"_blank\">\r\n\r\n\t\t\t\t\t\t\t<div class=\"qcld-sld-content-dividar visible\"><\/div>\r\n\t\t\t\t\t\t\t<!-- Link Text -->\r\n\t\t\t\t\t\t\t<div class=\"ca-content\">\r\n                                <h3 class=\"ca-main subtitle-present\">\r\n\t\t\t\t\t\t\t\tNotice of Privacy Practices                                <\/h3>\r\n                                \t                                <p class=\"ca-sub\">\r\n\t                                DOWNLOAD AND PRINT\t                                <\/p>\r\n\t                                                        <\/div>\r\n\r\n\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<!-- upvote section -->\r\n\t\t\t\t\t\t\t<div class=\"upvote-section style-1-upvote-section\">\r\n\t\t\t\t\t\t\t\t<span data-post-id=\"3922\" data-item-title=\"Notice of Privacy Practices\" data-item-link=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2021\/01\/AHVM_Notice-of-Privacy-Practices.pdf\" class=\"upvote-btn upvote-on\">\r\n\t\t\t\t\t\t\t\t\t<i class=\"fa fa-thumbs-up\"><\/i>\r\n\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t<span class=\"upvote-count\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<!-- \/upvote section -->\r\n\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<\/li>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<li id=\"item-3922-10\" style=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<!-- List Anchor -->\r\n\t\t\t\t\t\t<a class=\"qcld-con-list-img\"  href=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/Telemedicine-Informed-Consent.pdf\" target=\"_blank\">\r\n\r\n\t\t\t\t\t\t\t<!-- Image, If Present -->\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ca-icon list-img-1\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img src=\"https:\/\/ahvmed.com\/wp-content\/uploads\/2018\/12\/8-150x150.jpg\" alt=\"Telemedicine Informed Consent\">\r\n\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t\t<a class=\"qcld-con-list\"  href=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/Telemedicine-Informed-Consent.pdf\" target=\"_blank\">\r\n\r\n\t\t\t\t\t\t\t<div class=\"qcld-sld-content-dividar visible\"><\/div>\r\n\t\t\t\t\t\t\t<!-- Link Text -->\r\n\t\t\t\t\t\t\t<div class=\"ca-content\">\r\n                                <h3 class=\"ca-main subtitle-present\">\r\n\t\t\t\t\t\t\t\tTelemedicine Informed Consent                                <\/h3>\r\n                                \t                                <p class=\"ca-sub\">\r\n\t                                DOWNLOAD AND PRINT\t                                <\/p>\r\n\t                                                        <\/div>\r\n\r\n\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<!-- upvote section -->\r\n\t\t\t\t\t\t\t<div class=\"upvote-section style-1-upvote-section\">\r\n\t\t\t\t\t\t\t\t<span data-post-id=\"3922\" data-item-title=\"Telemedicine Informed Consent\" data-item-link=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/Telemedicine-Informed-Consent.pdf\" class=\"upvote-btn upvote-on\">\r\n\t\t\t\t\t\t\t\t\t<i class=\"fa fa-thumbs-up\"><\/i>\r\n\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t<span class=\"upvote-count\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<!-- \/upvote section -->\r\n\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<\/li>\r\n\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<li id=\"item-3922-11\" style=\"\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t<!-- List Anchor -->\r\n\t\t\t\t\t\t<a class=\"qcld-con-list-img\"  href=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/Medicare-Authorization_Assignment-of-Benefits.pdf\" target=\"_blank\">\r\n\r\n\t\t\t\t\t\t\t<!-- Image, If Present -->\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"ca-icon list-img-1\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img src=\"https:\/\/ahvmed.com\/wp-content\/uploads\/2020\/08\/cropped-of-nutritionist-doctor-consultating-patien-UD7PFJ7-150x150.jpg\" alt=\"Medicare Authorization\/Assignment of Benefits\">\r\n\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t\t<a class=\"qcld-con-list\"  href=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/Medicare-Authorization_Assignment-of-Benefits.pdf\" target=\"_blank\">\r\n\r\n\t\t\t\t\t\t\t<div class=\"qcld-sld-content-dividar visible\"><\/div>\r\n\t\t\t\t\t\t\t<!-- Link Text -->\r\n\t\t\t\t\t\t\t<div class=\"ca-content\">\r\n                                <h3 class=\"ca-main subtitle-present\">\r\n\t\t\t\t\t\t\t\tMedicare Authorization\/Assignment of Benefits                                <\/h3>\r\n                                \t                                <p class=\"ca-sub\">\r\n\t                                DOWNLOAD AND PRINT\t                                <\/p>\r\n\t                                                        <\/div>\r\n\r\n\t\t\t\t\t\t<\/a>\r\n\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t<!-- upvote section -->\r\n\t\t\t\t\t\t\t<div class=\"upvote-section style-1-upvote-section\">\r\n\t\t\t\t\t\t\t\t<span data-post-id=\"3922\" data-item-title=\"Medicare Authorization\/Assignment of Benefits\" data-item-link=\"https:\/\/heartandvascularmed.com\/wp-content\/uploads\/2020\/08\/Medicare-Authorization_Assignment-of-Benefits.pdf\" class=\"upvote-btn upvote-on\">\r\n\t\t\t\t\t\t\t\t\t<i class=\"fa fa-thumbs-up\"><\/i>\r\n\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t\t<span class=\"upvote-count\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t<!-- \/upvote section -->\r\n\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t\t\t\t\t\t\t\t\r\n\t\t\t\t\t<\/li>\r\n\t\t\t\t\t\t\t\t\t<\/ul>\r\n\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\r\n\t\t\r\n\t\t<div class=\"sld-clearfix\"><\/div>\r\n\t\t\t<\/div>\r\n\t\t<div class=\"sld-clearfix\"><\/div>\r\n\t<\/div><\/div>[\/vc_column_text][\/vc_column][\/vc_row][vc_row][vc_column]<div class=\"clearboth\"><\/div><style>#thegem-divider-69e3a6cc3859c {margin-top: 70px !important;}<\/style><div id=\"thegem-divider-69e3a6cc3859c\" class=\"gem-divider  \" style=\"\" ><\/div>[\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row full_width=&#8221;stretch_row_content_no_spaces&#8221; full_height=&#8221;yes&#8221; thegem_fix_full_height=&#8221;true&#8221; el_class=&#8221;big-index top-block&#8221; css=&#8221;.vc_custom_1587390175875{margin-bottom: 0px !important;}&#8221; 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