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To expedite the check in process, we ask that new patients please:

  • Print and complete the registration packet and bring it with you to your appointment
  • Bring your insurance card
  • Bring your physician’s referral

Vein Center Forms

Patient Registration Packet

The following forms are available to you as an additional resource. We will provide you with a copy of our Notice of Privacy Practices and the most relevant pre and post procedure instructions during your appointment.

Medical History Form and Notice of Privacy Practices