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    • Call Corpus Christi Heart Clinic - Main Office at (361) 883-3962
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            Call Corpus Christi Heart Clinic - Main Office at (361) 883-3962
            Directions
            • Home
            • Locations
            • Services
            • Our Physicians
            • Patient Center

              Patient Center

              • Patient Portal Support
              • Patient Portal
              • Telehealth Visits
              • Patient Center
              • Patient Forms
              • Patient Education
              • Patient Rights & Responsibilities
              • Online Bill Pay
            • Contact Us
            • About Us

              About Us

              • Newsroom
            • Directions
            • Health Portal
            • Pay My Bill
            • Make an Appointment

            Patient Forms

            • Corpus Christi Heart Clinic /
            • Patient Center /
            • Patient Forms
            • Patient Center
            • Patient Portal Support
            • Patient Portal
            • Telehealth Visits
            • Patient Forms
            • Patient Education
            • Patient Rights & Responsibilities
            • Online Bill Pay

            Patient Registration Forms

            If you are a new patient, please fill out the registration forms listed below in advance of your appointment to assist the staff in making sure that we have all the information necessary to provide you with quality care and treatment. Please bring the completed forms with you to your appointment.

            Registration Forms

            • Patient Registration and Consent
            • Registro de Pacientes y Consentimiento para Tratar
            • Medical Records Release
            • Patient HIPAA Acknowledgement and Consent
            Corpus Christi Heart Clinic
            Corpus Christi Heart Clinic
            Corpus Christi Heart Clinic - Main Office
            1202 3rd St
            Corpus Christi, TX 78404
            Phone: (361) 883-3962
            Fax: (361) 883-6563
            Contact Us
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            Copyright 1999-2023 C-HCA, Inc.; All rights reserved.
            Notice of Privacy Practices | Terms & Conditions | California Notice at Collection | Privacy Policy
            Social Media Policy | Acceptable Use Policy | HCA Nondiscrimination Notice
            Surprise Billing Protections | Right to Receive Estimate | Accessibility | Disclosures