Online Forms

ONLINE FORMS

For your convenience, you may download and print the following forms to fill out prior to your scheduled appointment.

(Adobe Reader Required-Our forms are in PDF format and require the Adobe Reader to view and print them. You can download and install the Adobe Acrobat Reader for free by visiting: Get Adobe Reader)

** Please note:  that while our forms are secure, any communication via e-mail may not be secure, so please consider that when selecting a way for us to contact you

Patient Information Form

CLICK HERE

Medical History
Form

CLICK HERE

Symptoms Review
Form

CLICK HERE

Medication History Form

CLICK HERE
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    VERIFIED PATIENT TESTIMONIALS

    “Excellent doctor! Seemed to really care about his patients. Very friendly and easygoing. Answered all questions and explained his reasoning for the tests and thoughts behind his decisions. Staff was also incredibly nice and efficient. Totally recommend him 100%!”

    Isabella

    “Dr.Jinesh Shah was really a great doctor with an amazing energy. Always, care about his patients. Amazing staff always helpful over the in the office. This the office always have snacks and coffee.Never seen an amazing office like apex heart and vascular care.”

    Michal

    “Excellent expirience!! I was treated like a VIP and family member! I needed a nuclear stress test and got it done in seamless way! Quick approval and less than 2.5 hours and done in a pleasant way! What a beautiful setup!! FIVE STARS for Bay Area Heart and his team!!”

    Smith