Referrals can be processed using one of the below actions:

Download our referral pdf form, print it and send it to  Fax:  (512) 215-8824  E-mail:  info@heartdoc.care

DOWNLOAD THE PDF FILE

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

    Dr. Charles Bailey,
    F.S.C.A.I. Interventional Cardiology


     

    170 Benney Ln, Suite 100 Dripping Springs, TX 78620

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

    101 Medical Pkwy
    Suite 220
    Austin, TX 78738

    Tel (512) 504-7411

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

    info@heartdoc.care