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Phone Number: (561) 235-5621

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  • MAKE AN APPOINTMENT
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  • BILL PAY
  • Home
  • About Us
  • Meet Our Physicians
    • Eli S. Levine, MD
    • Michael A. Schechter, MD
  • Conditions
    • Congestive Heart Failure
    • Invasive Cardiac Procedures and hospital services
    • On site services and non-invasive Testing
    • Peripheral Arterial Disease
    • Vein Clinic
  • Services
  • Vein Clinic
  • Concierge Cardiology
  • Contact

Request an Appointment

Please do not use this form if you have an urgent medical problem or you need to reschedule an existing appointment. Instead, contact our office at (561) 235-5621. After you submit your request, our appointment scheduler will respond within 48 hours. See below for forms to complete. Established patients may log in to the patient portal to request appointments and update forms.

cardiologist talking to patient

Patient Registration Forms

Advanced Heart and Vascular Institute in Boca Raton, Florida, welcomes you to our practice. Once you have made your initial appointment, you may preregister online by completing the interactive form(s) below, or you may download and print the form(s), fill them out, and bring them with you to your first visit. Completing the forms prior to your visit will help speed up the new patient registration process.

Also, be sure to bring any diagnostic films or other test results that may have been ordered or performed by another physician.

Interactive Forms:

  • New Patient Registration

Downloadable Forms:

  • New Patient Registration
  • Health History

Please note:  It may take a few minutes to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below

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Patient Education

 

Read more about the conditions and treatments provided at Advanced Heart and Vascular Institute.

 

Learn More

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  • ADA DISCLAIMER
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Address: 951 NW 13th Street,
Suite 5B Boca Raton, FL 33486

Phone Number:
(561) 235-5621

Fax:
(561) 235-5495

Copyright Advanced Heart and Vascular Institute. All Rights Reserved

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The cardiologists at Advanced Heart and Vascular Institute in Boca Raton, FL, specialize in the treatment of congestive heart failure and peripheral arterial disease. Our physicians also provide heart and vascular non-invasive testing and invasive cardiac procedures.