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New Patient Intake

New Patient Intake for review only. You can print the Health History and Medication Record pages to complete and bring them with you to your appointment. DO NOT EMAIL them to Vessel Health.

Patient Intake

Health History

Medication Record

Appointment and No Show Policy

Consent for Treatment

Privacy Consent Form

Fitness Waiver

Patient Insurance Information

Record Release

HIPAA Privacy Authorization

HIPAA Adherence

HIPAA Adherence in a Group Setting



Welcome Letter

About Us

Personalized Cardiovascular Services

LifeShip Health Programs

Lifestyle Questionnaire

Appointment Policy

  • Rescheduling Service Charge: A fee of $25.00 will be applied to appointments changed within 7 days of a planned date.
  • No-Show Fee: For appointments canceled without 24 hours notification, a fee will be charged:
  • $50.00 for an Office Visit 
  • $50.00 for each Diagnostic Test or Procedure
  • $25.00 for each Lifestyle Program Visit
  • Co-pays and outstanding balances are due at the time of service.
  • We appreciate your understanding and support of this policy.