Resources
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Patient ResourcesInformation and Support for Your Health Journey
Patient Forms New Patients
New patients should have the following:
- Government issued ID such as a driver’s license
- Health insurance cards and any related information
- List of current medications
- Information of Doctors you’d like Dr. Lathia to correspond with
- Medical records that you want to review with the doctor
- For all new patients, the New Patient Packet is available to download and bring them filled out on the day of the appointment
- For Established Patients, appointment specific Patient Forms are available on this page
- HMO insurance holders: we need a referral submitted from your Primary Care Physician (PCP) prior to your appointment
English Patient Forms
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1COVID 19 Questionnare (English)
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2PHI Patient Communication Form (English)
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3Patient Agreement in Office Policies (English)
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4Notice of Privacy Practices & Receipt (English)
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5Patient History (English)
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6Peripheral Artery Disease PAD Questionnaire (English)
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7Venous Insufficiency Screening (English)
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8Financial Policy
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9Complete Patient Packet (English)
Spanish Patient Forms
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1COVID 19 Questionnare (Spanish)
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2PHI Patient Communication Form (Spanish)
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3Patient Agreement in Office Policies (Spanish)
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4Notice of Privacy Practices & Receipt (Spanish)
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5Patient History (Spanish)
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6Peripheral Artery Disease PAD Questionnaire (Spanish)
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7Venous Insufficiency Screening (Spanish)
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8Complete Patient Packet (Spanish)
Testing, Imaging & Interventions Instructions
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Exercise Stress Test – Pre Test Instructions
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Nuclear Stress Test Instructions – Pre & Post Test Instructions
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Radiofrequency Venous Ablation Pre Procedure Instructions
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Radiofrequency Venous Ablations Post Procedure Instructions
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Renal Arterial Duplex – Pre Study Instructions
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Stress Echo – Pre Test Instructions
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Venous Duplex & Reflux Studies – Pre Instructions