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  • Cholesterol and Heart Disease
  • Are You at Risk?
  • Family History, DNA, Ancestry
  • More on Heart Disease
  • Prevention and Reversal

Forms and Insurance Info

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Patients » Forms and Insurance Info » Forms
Forms and Insurance Info
  • Forms

Below are a list of all CVMG forms.  Please find your form:

Cardio Questions

Make appointment

Instructions for Treadmill

Instructions for Stress Test

Consent for Dobutamine Cardiolite

Consent for Adenosine

Patient Information Form

Notice of Privacy Practice.pdf      

Financial Policy.pdf

Acknowledgement of Privacy Practice

Dr. Judelson's Patient Form

Dr. Judelson's Patient Follow-up Form

Our Locations
Beverly Hills
414 N. Camden Drive, Suite 1100 Beverly Hills, CA 90210
West Los Angeles
8635 W. 3rd Street, Suite 1190 Los Angeles, CA 90048
Culver City
3831 Hughes Ave.,Suite 501 Culver City, CA 90232


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Heart Attacks are Preventable!

Heart disease is PREVENTABLE.  Once you have it, there is no going back.  But we can help you manage it… Let us show you how!
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  • Pacemaker Clinic
  • Nuclear Stress Testing


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