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New Patient Forms
Personal History Form
Your health history is an important component to your evaluation here at Dignity Health Medical Group - Golden Empire Cardiology. Completion of this form provide our physicians with key information about your history to assist in appropriate evaluation and treatment of your cardiac condition.
Disclosure Authorization Form
A form to authorizing your previous physicians to provide Dignity Health Medical Group – Golden Empire Cardiology with your medical records to help assist in your evaluation.
Nuclear Preparation Form
Pre-procedure preparation and an explanation of what to expect during a Thallium stress test.
Stress Testing Information
Important information regarding your Treadmill Stress Test & Stress Echocardiogram.
Dobutamine Echocardiogram Information
Important information regarding your Dobutamine Echocardiogram.
Lexiscan Exam Preparation Form
Pre-procedure preparation and an explanation of what to expect during a Lexiscan examination.
If you need to request a form, please call (661) 321-3161.