Heart Center Cardiology at The Heart Center

To schedule an appointment with any of the physicians of Heart Center Cardiology, please call:

(541) 388-4333

We are located in The Heart Center, on the west side of St Charles Medical Center. Click here for driving directions and a map.

As a courtesy time-saving measure for you, Heart Center Cardiology offers patients the opportunity to fill out required forms prior to their scheduled appointments. There are two methods for filling out the forms.

1. For patients who are comfortable filling out forms via their computers, just download, and type answers into the blanks. Then print and bring with you to your appointment.

2. For patients who prefer filling out forms by hand, simply print the forms, fill them out in pencil or ink, and bring with you to your scheduled appointment.

• Personal Information

• Acknowledgment & Consent

• Cardiology History

Nuclear Imaging Patient Information and
Test Preparation Forms

• Dobutamine Nuclear Stress Test

• Adenosine or Lexiscan Nuclear Stress Test

• Treadmill Stress Test Prep

• Treadmill with Nuclear Imaging

• Nuclear Medicine Patient Questionnaire (All Patients)

• Nucear Medicine Questionnaire (Female Patients)

You will need Adobe Reader software to view PDF files.
Free download

NOTE: Due to HIPPA Privacy Laws, these forms may NOT be emailed into our office. They must be printed and hand carried to your scheduled appointment.