Solaris Heart & Vascular: Cardiovascular Services Offered

New Patient Forms
Please print and fill out before your first visit.

• History and Physical Form

• SOLARIS Patient Responsibility

• Patient Registration Form

• HIPAA Patient Acknowledgement Form

Medical Records Requests

• Authorization for THIRD PARTY
to release to SOLARIS

• Authorization for SOLARIS
to release to THIRD PARTY

• Authorization for SOLARIS
to release to PATIENT only

Read Only PDF

• Notice of Privacy

SOLARIS HEART • 355 TOWER ROAD. • SUITE 300 • MARIETTA, GA 30060 • 770-426-4721 • Other Locations

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