Patients seeking appointments with our heart specialists are generally referred to the UK Gill Heart Institute by their physicians. For more information on making an appointment, please call 859-257-1000 or toll free 800-333-8874.
Medical record information (labs, test results, x-rays, etc.) from other facilities.
A list (or the actual bottles) of all medications currently being used, both prescribed and over-the-counter.
Insurance card and any required forms such as a referral from your primary care physician or a completed authorization from your insurance company.
The names and address of all your physicians.
A responsible adult to drive you home (the patient should not drive for 24 hours after receiving sedation for a procedure).
All medications currently being used, both prescribed and over-the-counter.
An overnight bag, as there is always a potential for admission.
A copy of advanced directives (living willing, health care surrogate, medical power of attorney, etc); be sure to inform the staff if you have one.
Emergency contact information
A list of past surgeries or procedures, dates and where they were done (open heart, cardiac cath).
DO NOT BRING valuables, money or jewelry - please leave those items at home or give to a family member for safe keeping.
Shower with Hibiclens (special antibacterial soap) the night before and morning of your procedure.
If you would like UK HealthCare to submit a claim on your behalf to your insurance company, it will be necessary for you to present proof of insurance such as a membership card. If your insurance requires you to make a partial payment for certain services (co-pay), this amount will be collected before services are rendered. Payment may be made by check, credit card or cash.
For your convenience, you may print out and complete the forms below before your visit to Gill:
Consent to treatment authorization form - English (PDF, 72 KB) »
Consent to treatment authorization form - Spanish (PDF, 121 KB) »
Patient history form (PDF, 1 MB) »