HeartPlace Mid Cities Electrophysiology (EP) is conveniently located right off of Highway 183 in Bedford. We have a wonderful group of physicians ready to serve you. At HeartPlace Mid Cities Electrophysiology (EP), we specialize in electrophysiology cardiology (electrical/heart rhythms). We have a wide variety of diagnostic tools and evaluation methods to help cover all of your electrophysiology needs. Call us today for your appointment. We look forward to meeting you and starting your journey to a healthy heart.

1305 Airport Freeway
Suite 301
Bedford, Texas 76021

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Phone: 682-292-9000
Fax: 844-289-7694 

Location Hours: 8:30 am - 5:00 pm (Monday - Friday)

Click Here for Detailed Location Map

Mid Cities EP Clinic Providers

Mid Cities EP 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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Mid Cities EP - Bedford Clinic Fax #: 844-289-7694

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

• Nuclear Stress Test - AM Appointment

• Nuclear Stress Test - PM Appointment

• Abdominal Aorta Ultrasound​​

Patient Procedure Instructions

POST PROCEDURE​

• Pacemaker

• ICD

• Angioplasty/Stent

• Open-Heart Surgery