ÿþ<html> <head> <title>Children's Heart Center</title> <meta http-equiv="Content-Type" content="text/html;"> <meta name="keywords" content="Children's Heart, Children, Heart, Pediatric, Cardiac, Holter, Heart card, Echocardiogram, Las Vegas, Vegas, Childhood obesity, Obesity, Overweight, Overweight children, Weight loss for children, Healthy lifestyles"> <meta name="description" content="The mission of the Children's Heart Center is to provide the very best medical care to children with heart disease."> <!--Fireworks MX 2004 Dreamweaver MX 2004 target. 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background="images/interior_back.gif"> <table border=0 cellpadding=0 cellspacing=0> <tr> <td align=left width=75><br></td> <td align=left valign=top> <!---BEGIN CONTENT HERE--------> <table border=0 cellpadding=0 cellspacing=0 width=560> <tr> <td align=right valign=top rowspan=2> <img src="images/title_hearts.gif" border="0"></td> <td align=left align=top> <img src="images/title_resources.gif" border="0"></td> </tr> <tr> <td align=left valign=top colspan=2> <table border="0" cellpadding="0" cellspacing="0" width="431"> <tr> <td><a href="resources.html" onMouseOut="MM_swapImgRestore();" onMouseOver="MM_swapImage('resources_subnav_1','','images/resources_subnav_1_f2.gif',1);"><img name="resources_subnav_1" src="images/resources_subnav_1.gif" width="46" height="17" border="0" alt=""></a></td> <td><a href="resources_healthylifestyles.html" onMouseOut="MM_swapImgRestore();" onMouseOver="MM_swapImage('resources_subnav_2','','images/resources_subnav_2_f2.gif',1);"><img name="resources_subnav_2" src="images/resources_subnav_2.gif" width="124" height="17" border="0" alt=""></a></td> <td><a href="resources_forkids.html" onMouseOut="MM_swapImgRestore();" onMouseOver="MM_swapImage('resources_subnav_3','','images/resources_subnav_3_f2.gif',1);"><img name="resources_subnav_3" src="images/resources_subnav_3.gif" width="62" height="17" border="0" alt=""></a></td> <td><a href="resources_physicians.html" onMouseOut="MM_swapImgRestore();" onMouseOver="MM_swapImage('resources_subnav_4','','images/resources_subnav_4_f2.gif',1);"><img name="resources_subnav_4" src="images/resources_subnav_4.gif" width="101" height="17" border="0" alt=""></a></td> <td><a href="resources_links.html" onMouseOut="MM_swapImgRestore();" onMouseOver="MM_swapImage('resources_subnav_5','','images/resources_subnav_5_f2.gif',1);"><img name="resources_subnav_5" src="images/resources_subnav_5.gif" width="48" height="17" border="0" alt=""></a></td> <td><a href="resources_forms.html" onMouseOut="MM_swapImgRestore();" onMouseOver="MM_swapImage('resources_subnav_6','','images/resources_subnav_6_f2.gif',1);"><img name="resources_subnav_6" src="images/resources_subnav_6.gif" width="50" height="17" border="0" alt=""></a></td> <td><img src="images/spacer.gif" width="1" height="17" border="0" alt=""></td> </tr> </table> <table border="0" cellpadding="0" cellspacing="0" width="192"> <tr> <td><a href="resources_healthprofessionals.html" onMouseOut="MM_swapImgRestore();" onMouseOver="MM_swapImage('resources_subnav2_1','','images/resources_subnav2_1_f2.gif',1);"><img name="resources_subnav2_1" src="images/resources_subnav2_1.gif" width="132" height="17" border="0" id="resources_subnav2_1" alt="" /></a></td> <td><a href="resources_parents.html" onMouseOut="MM_swapImgRestore();" onMouseOver="MM_swapImage('resources_subnav2_2','','images/resources_subnav2_2_f2.gif',1);"><img name="resources_subnav2_2" src="images/resources_subnav2_2.gif" width="60" height="17" border="0" id="resources_subnav2_2" alt="" /></a></td> </tr> </table> <p><span class="doctor">FORMS</span></p> <p><b>Online Forms</b></p> <ul> <li><a href="form_referral.html" class="bullet_link">Referrals</a> <li><a href="form_prescription.html" class="bullet_link">Prescription Refills</a> </ul> <br> <p><b>Downloadable Forms</b><br> These files require Adobe Acrobat. Download it <a href="http://www.adobe.com/products/acrobat/readstep2.html" target="_blank" class="bullet_link">here</a>.</p> <ul> <li><a href="pdfs/familymedeng.pdf" class="bullet_link">Family Medical History Information</a> (English) <li><a href="pdfs/familymedspa.pdf" class="bullet_link">Family Medical History Information</a> (Spanish) <li><a href="pdfs/patientinfoeng.pdf" class="bullet_link">Patient Information Sheet</a> (English) <li><a href="pdfs/patientinfoeng_fill.pdf" class="bullet_link">Patient Information Sheet - Fillable</a> (English) <li><a href="pdfs/patientinfospa.pdf" class="bullet_link">Patient Information Sheet</a> (Spanish) <li><a href="pdfs/RecordsReleaseForm-LasVegas.pdf" class="bullet_link">Records Release Form - Las Vegas</a> (English) <li><a href="pdfs/RecordsReleaseForm-LasVegas_Span.pdf" class="bullet_link">Records Release Form - Las Vegas</a> (Spanish) <li><a href="pdfs/RecordsReleaseForm-Reno.pdf" class="bullet_link">Records Release Form - Reno</a> (English) </ul> </td> </tr> </table> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <p>&nbsp;</p> <!---END CONTENT HERE--------> </td> </tr> </table> </td> </tr> <tr> <td><img src="images/spacer.gif" width="73" height="1" border="0" alt=""></td> <td><img src="images/spacer.gif" width="86" height="1" border="0" alt=""></td> <td><img src="images/spacer.gif" width="91" height="1" border="0" alt=""></td> <td><img src="images/spacer.gif" width="69" height="1" border="0" alt=""></td> <td><img src="images/spacer.gif" width="108" height="1" border="0" alt=""></td> <td><img src="images/spacer.gif" width="67" height="1" border="0" alt=""></td> <td><img src="images/spacer.gif" width="30" height="1" border="0" alt=""></td> <td><img src="images/spacer.gif" width="108" height="1" border="0" alt=""></td> <td><img src="images/spacer.gif" width="118" height="1" border="0" alt=""></td> </tr> </table> </td> </tr> </table> </center> </body> </html>