Referrals can be processed using one of the below actions:

Outpatient Services and/or Consult Referral Form.


DOWNLOAD THE PDF FILE

print it and send it to
Fax:  (512) 215-8824
E-mail:  info@heartdoc.care

 

Consult Referral Request Form








       *You can also process a referral through www.leadingreach.com

    .


    Please fax or email patient demographics, medical records, and insurance cards to Fax # 512-215-8824 or email info@heartdoc.care and include this form as the cover sheet.
    Thank you,


    Dr. Nima Amjadi, M.D., F.A.C.C.
    Interventional Cardiology

     

    170 Benney Ln, Suite 100 Dripping Springs, TX 78620

    4310 James Casey Street
    Building 1, Suite A
    Austin, TX 78745

    Tel (512) 504-7411

    Tel: (512) 504-7411
    Fax: (512) 215-8824

    info@heartdoc.care

    An Important Message About Your Care

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