Contact a Physician at Legacy Heart Center

Welcome to our online Contact a Physician page, where you may ask your physician a question or provide his/her with information. This page is for established Patients only. If you wish to become a patient, please call our office during business hours.

Messages will only be checked Monday through Friday, during business hours. Please allow 24 business hours for a response to your message. Due to the requirements of federal and state laws governing the privacy health care information, your message will not be returned via email.


In an Emergency, Call 911. Call your physician's office directly if you need to speak with someone same day. Only routine questions should be submitted online. If you have an immediate need or concern, contact our office directly.

Required items are marked with a red asterisk*

* I acknowledge that this is for non urgent messages only and in most cases messages will not be answered in less than 24 hours. Messages are accepted between 8 am and 5 pm Monday through Friday.

Patient's Last Name: *
Patient's First Name: *
Patient's Middle Name or Initial:
Date of Birth: * (mm/dd/yyyy)
Daytime Phone Number: * (000-000-0000)
Evening Phone Number: * (000-000-0000)
Cell Phone Number: (000-000-0000)
Return E-Mail Address: *
Preferred Contact Method: *
Who is Your Provider? *
Pharmacy and Location:
Pharmacy Phone Number:
Pharmacy Fax Number:
Attach a File: