Patient Forms
After making an appointment with Women's Heart Health at Stanford, please download the forms* below and complete them. Bring the completed forms to your first visit.
New Visit Medical History Questionnaire (PDF)
New Visit Lifestyle and Risk Factor Questionnaire (PDF)
Return Visit Lifestyle and Risk Factor Questionnaire (PDF)
*You will need Adobe® Reader® to view and print these documents from your desktop. If you do not have this software, you can download it FREE from Adobe's Web site.