For your convenience, forms are available for download in English and Spanish. You can print them and fill them out before your visit and fax them to HeartCare (213) 483-0735 or bring them to your initial consultation. If you fax them, call to verify we received them.
For New Patients
Registration Form:EnglishacrobatSpanishacrobat
Patient History Form:EnglishacrobatSpanishacrobat
Medical Information
Release Form:


Do you suffer from angina? External counterpulsation therapy (ECP, also known as EECP) is a simple,
noninvasive, outpatient treatment for angina. HeartCare incorporates ECP into its array of treatments to
reduce the effects of heart disease without surgery or medication. Learn more about ECP and call to
schedule your evaluation for this treatment today.