Heart of the Valley Pediatric Cardiology
  
DR. ANDREW J. MAXWELL, M.D.
Phone: 925.416.0100
Fax: 925.397.2193
5933 Coronado Lane, Suite 104, Pleasanton, CA 94588
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Appointment Registration Packet
  Enclosed you will find registration and insurance forms that you will need to fill out prior to your visit. Along with the fully completed forms please bring your current insurance card and current referral (referral needed for HMO patients only) because this will help us ensure that we have your current information ready to go for your scheduled appointment. We look forward to seeing you soon.
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Kids in Action

Improving children's health through nutrition
 
Referral Form
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For further information on the program, click here.
Athlete Medical Screening

for sudden cardiac death prevention
 
Athlete Form
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For further information on athlete screening, click here.
       
 
Blood Pressure and Cardiac Monitoring

Daily logs for blood pressure and Holter monitoring

 
Blood Pressure Log
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Holter Monitor Diary
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