Duke Heart Center understands that our patients want to have their office visit be as smooth as possible.

To help facilitate this process, we have provided our patient forms online for you to download and complete before your visit.

New Patient Registration Forms

• General Cardiology Patient Registration Form (PDF, 50 KB)
• Electrophysiology Patient Registration Form (PDF, 23 KB)
• Authorization for Release of Information Form (PDF, 31 KB)

Forms for Referring Physicians

• Request for Cardiology Consultation Form (PDF, 58 KB)
• Patient Medical Record Checklist for Referring Physicians Form (PDF, 43 KB)
• Cardiovascular MRI Imaging Request Form for Referring Physicians (PDF, 66 KB)
• Congenital Cardiovascular MRI Ordering Form for Referring Physicians (PDF, 128 KB)