Dear Patient,

In anticipation of your upcoming appointment with our office, please take the time to fill out the New Patient Medical History Form.  Please bring it with you when you come for your appointment.

Please bring your insurance cards with you so we may make a copy of your cards for our files.  This information is required by us to properly bill your insurance.  If your insurance requires you to have a referral to see us, please make sure your primary care physician has generated your referral.  Also, please be prepared to make any co-payment required by your insurance at the time of your appointment.  If no insurance is involved, patients will be required to establish financial arrangements for payment of their account.

We also ask that you please bring all of your bottles of medication that you are presently taking so we may accurately record them in your chart.

If you are unable to keep this appointment, please notify us 24 hours in advance if possible at 663-0500 (Northeast Medical Office) or 701-2170 (North Medical Office.)

We look forward to seeing you!

Sincerely,

Cardiovascular Group of Syracuse 

Contact Information

Telephone

315.663.0500 (Fayetteville)  315.701.2170 (Liverpool)

FAX

315.663.0514                      315.701.2186

Postal address

4507 Medical Center Dr. Fayetteville, NY 13066

5100 West Taft Road, Suite 4J, Liverpool, NY 13088

Electronic mail (WE CANNOT RESPOND TO MEDICAL INQUIRIES VIA E-MAIL)

General Information: Fayetteville   pdeberjeois@cvgs.org
                              Liverpool      mschrenko@cvgs.org
 
Webmaster: jdeambra@cvgs.org

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Send mail to: gkenien@cvgs.org with questions or comments about this web site.
Last modified: 07/15/10