Forms
Please print out the 6 forms below and complete them before arrival for your appointment.
- Patient Registration Information
- Patient Health History
- Authorization for Release of Information
- Patient Photographic Authorization & Release
- HIPAA Acknowledgement of Receipt
- Financial Policy
Formas Español
- Registro de pacientes
- La historia de salud del paciente
- Autorización para divulgación de información
- Liberación y paceinte autorización fotográfico
- Del aviso de prácticas de prividad
- Política financiera
Please review the document below before your appointment
Notice of Privacy & HIPAA Practices
Pre and Post Operative Instructions
- Venous Laser Pre & Post Op Instructions
- Ambulatory Phlebectomy Pre & Post Op Instructions
- Sclerotherapy Instructions
