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Information for
Physicians

Christopher A. Abadi, MD, FACC
Heather Hurlburt, MD, FACC
Michael Hyder, MD, MPH, FACC
Jennifer F. Jarbeau, MD, FACC
Robert D. Meringolo, MD, FACC
Franklin Schneider, MD, FACC, FASE
Robert H. Schwengel, MD, FACC
Mitchel A. Sklar, MD, FACC,FSCAI

At CARI, we strive to make each patient encounter a positive experience and to efficiently use your time. To facilitate this process, we ask that you review and, if possible, print and complete the following forms to bring with you on the day of your visit. Feel free to call any of our offices for assistance.

Prior to Your First Visit:
New Patient Registration Form
Initial Patient Medical History Form
Patient Consent to Release Health Information
Authorization for Use of Release of Protected Health Information

Prior to Your Stress Test:
Pre Exercise Patient Question Form

Prior to Your Visit in our Vascular Clinic:
Lower Extremity Patient Questionnaire

Form for Medical Professionals
Referring Physician Testing Order Form