The South’s leader in minimally invasive and robotic cardiovascular and thoracic surgery

New Patient Registration

In order to refer a patient to Cardio-Thoracic Surgeons, P.C., we will need some important information. Please fill out our Patient Self Referral Form, our medical form and submit both to our office for processing. We look forward to serving you as a patient.

To use the Print and email functionality of the forms, you must first save them to you computer. To download a form, right-click on the name of the form below, select “Save target as…”, and follow the prompts to save the form.

Once the form is saved to your computer, complete the form and use the “Print” and “Email” buttons on the form to either print the form or to send it to our office electronically.

Patient Information Form

Medical Form

HIPPA Release Form

Medical Records Release Form

If you are a physician, please click the link to fill out our Physician Referral Form.

Schedule a Consultation Now!

Please call our office at 205.716.6900 to schedule a consultation to discuss your medical need.

Our Location

Cardio-Thoracic Surgeons, P.C.

2871 Acton Road, Suite 100
Birmingham, AL 35243

Phone:

205.716.6900

Our Services

At Cardio-Thoracic Surgeons, P.C., we specialize in the surgical treatment of heart, lung/thoracic, and vascular diseases.

Providing a cutting edge approach with the highest quality of patient care.

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