Heart Doctor Chicago

For Patients

Appointment Forms

Please fill out prior to your appointment and fax back to 312.587.1110

Patient Health History Form

Patient Registration Form

HeartScan of Chicago Patient Consent Form

Our Address:

HeartScan of Chicago
100 E. Walton Street
Chicago, IL 60611

HeartScan of Chicago is located 1 block north of the John Hancock Center and approximately ½ block west of Michigan Avenue.

Parking available immediately west of HeartScan of Chicago. Valet parking is the first driveway past the offices of HeartScan of Chicago at 100 E. Walton. We will validate your parking so the parking is Free to all our patients

For more information:

Phone 312-587-1111
E-mail info@heartscanofchicago.com
Web site www.heartscanofchicago.com

To make an appointment 312-587-1111

Your records are your records. HeartScan of Chicago maintains a HIPPA compliant website and protects your complete privacy.

We will never give your records to anyone with out direct written instructions form you. No more problems getting records from one doctor to another.

HIPAA

The Health Information Portability and Accountability Act of 1996 (HIPAA) protects your privacy. HeartScan is fully compliant with this Act. Now Federal Law prohibits any provider from giving your healthcare information to anyone, including family members, employers or other physicians, without your express written permission.

Your Privacy - Now Federal Law

Gives you rights over your health information
Sets rules and limits on who can look at and receive your health information
Your Information is protected by Federal Law

Who must follow this law?

Most doctors nurses, pharmacies, hospitals, clinics, nursing homes, and many other healthcare providers
Health insurance companies, HMO's and most employer group plan

What Information is Protected?

Information your doctors, nurses, and other health care providers put in your records
Conversations your doctor has about your care or treatment with other healthcare providers

(Source: U.S. Department of Health and Human Services)

NEWS

• 1 in 3 adults – both men and women - has some form of cardiovascular disease.

• About every 26 seconds an American will suffer a coronary event and about every minute someone will die from one.

• Each year about 1.5 million Americans will have a heart attack with absolutely no warning signs. For about half of those, the heart attack will be fatal.

• In 90% of adult victims of sudden cardiac death, two or more major coronary arteries are narrowed or blocked.

• Brain death and permanent death start to occur in just 4-6 minutes after someone experiences cardiac arrest.

• The cardiac 64 CT scan provides 3-D images of the heart so detailed heart disease can be detected even at the earliest stages. It is in the earliest stages that heart disease is the most treatable.

• In the time it took to read this, two people had a coronary event and one of them died.

Source: American Heart Association-2006 Update

• • • • For Patients • • • • • • •

This website is for informational purposes only, and is not intended to be medical advice.