We are looking forward to caring for you at My Heart Spark P.C.!
If you are feeling unwell, please call 911, visit the closest emergency department, or reach out to urgent care or your primary care provider. Appointment requests and new patient registrations with My Heart Spark P.C. are for non-emergent care only. We are happy to help you once the emergency has passed and you have recovered well.
In order to provide you with the utmost quality care during your appointment, please attach results of lab tests and imaging to be reviewed at your next appointment or to be reviewed in order to electronically send you our comments. You can request copies of your medical records from your health care clinicians. If you haven't yet, please also complete the Authorization to Release Medical Information form so that we can obtain additional information for your medical records if needed.
Items needed to complete this form if available:
- Medical Records: To include the last full office visit note from primary care provider and/or heart doctor (if applicable). Please provide records from any that are applicable. Records should include notes on medical problems/past medical history and heart or blood vessel problems diagnosis (history and treatment information).
- Medical Imaging: To include results of the last 3 echocardiograms (ultrasound of the heart) with or without stress test, ECG (squiggly lines looking at electrical activity of the heart), chest X-ray, chest CT, heart MRI, nuclear/sestamibi/myocardial scan stress test, MUGA, brain/head/neck CT or MRI or CTA or MRA, and any other heart or chest imaging results documents; if possible, please provide from the past few years.
- Lab Test Results: To include results documenting cholesterol, glucose, liver function, kidney function, blood cells, and other results checked and provided by primary care clinicians; if possible, please provide from the past few years.
If you have any questions completing the forms, please feel free to contact us using the Get In Touch tab in the main menu above. We also suggest sending a snapshot of the requested items to your healthcare providers and ask them to help with obtaining the required information.