Welcome New Patients


Register as One of Our New Patients

Welcome to CVAM.  We are pleased to be your provider of cardiac, peripheral vascular and electrophysiology care. Our goal is to provide you with compassionate patient care and service.  We invite you to begin your new patient registration now by following these directions.

Review the forms below and bring them to your appointment.

Please print the Financial Policy Acknowledgment form, complete it and bring it to your appointment.  Please review the HIPAA Policy.  Then, please print the HIPAA Acknowledgment form, complete it and bring it to your appointment.

Please arrive at least 30 minutes early, if you have not yet filled out these forms.  If you have completed forms with you, you only need to check in with the reception desk 15 minutes before your scheduled appointment, so you can complete history and current symptoms forms.

Send us your medical records

 Have your primary care physician and/or your referring physician fax your records to (480) 218-4353.

The Medical Records Release form will allow us to request records on your behalf. If you have your records, please bring them to our office at least one week prior to your appointment so your cardiologist can review them and prepare for your visit. Failure to have medical records available at your first appointment may result in cancellation of your appointment.

Send us your referral

If your insurance plan requires a referral, please have your referring physician fax it to (480) 325-1390.  If they already provided you with a paper referral, please bring the referral to your appointment.  If you are arriving for testing only, please bring the physician order to your appointment. Failure to have a referral available at your first appointment may result in cancellation of your appointment.

Prepare for your office visit

In addition to completing the forms, we will also require the following for your first visit please:

  • Driver’s license or other valid government-issued photo identification
  • Insurance card
  • Any co-pay, deductibles or co-insurance applicable to your health plan
  • Prescription medication bottles, as well as any vitamins and supplements

Maps of our locations are on the home page of our website. We look forward to seeing you and thank you for your assistance in helping us prepare for your appointment!

Forms to Review, Complete and Bring to Your Appointment


New Patient Packet – Download
New Patient Packet Spanish – Download
Financial Policy – Download
HIPAA Privacy Policy – Download
HIPAA Acknowledgment – Download
Medical Records Release – Download
Release of Information to Spouse Significant Other Family – Download
Visit Us Today

Our Office Locations


CVAM 6116 E Arbor Ave. Mesa, AZ 85206

CVAM 37100 N. Gantzel Rd Queen Creek, AZ 85140

CVAM 2730 S. Val Vista Dr.,Building 8N, Gilbert, AZ 85295

CVAM 2979 W. Elliot Rd., Building 5 Chandler, AZ 85224


COVID-19 Update

As you are no doubt aware, the COVID-19 virus is having a significant impact on many communities around the country. Our doctors and staff have been closely monitoring the situation – including the recommendations of the Centers for Disease Control and Prevention (CDC) and other health organizations.

We have developed a pro-active response plan that takes steps to ensure that we help protect the health and safety of our staff and patients:

  • Three of our locations remain open to Serve You – We plan to remain open to serve our patients and will notify you if there are any changes. We will be here to help you with your medical needs. There may be some variation in the hours in the coming weeks. Please call before making any unscheduled visits.
    • Our CHANDLER location will be temporarily closed to allow us to concentrate our resources in our other locations in Mesa, Gilbert, and Queen Creek. 
  • Your Appointment – At this time, other than our Chandler office, there is no disruption in our schedule and we look forward to serving you at your next appointment. If you have not yet scheduled your appointment, our staff is ready to assist you. If you need to modify your appointment for any reason, please contact us.
  • Commitment to Cleanliness and Safety – Our standard cleaning and sterilization procedures have always used EPA-certified cleansers and disinfectants to maintain the cleanliness of our offices and equipment. We practice universal precautions far beyond what the requirements for the virus are calling for. We will continue to be diligent in maintaining universal precautions. You can feel safe and secure in our office.
  • We are prescreening each patient via telephone prior to their appointment. After passing the prescreen check, we will do a temperature check prior to their actual appointment to ensure they remain healthy.  During this process, if a patient shows any signs of illness they will be recommended for our telemedicine program. Telemedicine allows health care professionals to evaluate, diagnose and treat patients in remote locations using telecommunications technology. Telemedicine requires a patient to have a smartphone or device. The device must be able to download a HIPAA compliant app; pMD. If using an iPhone or iPad they can still FaceTime with our Providers and no app would be required.
  • Emergency Care Will Always be Available - We will always be available to address emergencies. A plan is in place to provide emergency care both in-person and via telemedicine.

Thank you for your trust in us during these challenging times. We will send updates as the situation evolves.

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