Zouheir Elias MD
Insurances
Patient Education
Patient Forms

EliasCardiology

Zouheir Elias MD
Insurances
Patient Education
Patient Forms

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New Patient Forms

Please Complete Forms 1 Through 4

1. Patient Registration Form
2. New Patient History Form
3. Current Medications And Allergies
4. Patient Consent For Use And Disclosure Of Protected Health Information

Established Patient Forms

Please Complete Forms 1 Through 3

1. Patient Update Form
2. Current Medications And Allergies
3. Patient Consent For Use And Disclosure Of Protected Health Information

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Zouheir Elias MD , 18350 Roscoe Blvd, Los Angeles, CA, 91325, United States