If you are coming to Park East for the first time, here are several forms that you may print and complete in advance of your visit.

New Patient Information Notice of Privacy Practice
Complete History Form Authorization for Release of Medical Records
Assignment of Insurance Benefits

Please note that these are PDFs. If you don't have Adobe Acrobat Reader on your computer, click here or on the logo at right to download the program and open these files.

 


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Our Physicians:
Mark B. Schiffer, MD, FACC | Paul P. Romanello,MD,FACC | Ira S. Blaufarb, MD, FACC | Donna A. Ingram, MD, FACC | Nicholas B. DuBois, MD, FACC


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