HEARTPLACE ARLINGTON SURGERY

HeartPlace Arlington Surgery is conveniently located in North Arlington in the same building as our HeartPlace North Arlington clinic. HeartPlace Arlington Surgery is dedicated to providing the best cardio-thoracic care that you can get. We have a wonderful group of surgeons ready to serve you. Call us today for your appointment. We look forward to meeting you and starting your journey to a healthy heart.

902 West Randol Mill Road
Suite 200
Arlington, Texas 76012

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Phone: 817-461-8327
Fax: 844-290-4366 

Hours: 8:30am-5pm (Monday - Friday)

Click Here for Detailed Location Map

Arlington Surgery Clinic Providers

Arlington Surgery Clinic Forms

For your convenience, we have placed various patient forms below, in the form of PDF files that you may download at your leisure. Once they have been completed, you can either mail or fax them to this office, or bring them with you to your appointment.

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Arlington Surgery Clinic Fax #: 844-290-4366

You will need the Adobe Reader to view and print these documents.

Full Patient Visit Packets

• New Patient Packet

• Established Patient Packet​

Individual Patient Visit Forms

• Patient Demographics Form

• Patient Privacy Notice (HIPAA)

• New Patient Questionnaire

• Established Patient Questionnaire

• Authorization For Release of Medical Records TO HeartPlace

• Authorization For Release of Medical Records FROM HeartPlace

• Blood Pressure Log

Patient Testing Instructions

• Stress Test

• Echocardiogram

• Stress Echocardiogram

Patient Procedure Instructions

POST PROCEDURE​

• Pacemaker

• ICD

• Angioplasty/Stent

• Open-Heart Surgery