For Patients

For New Patients

These forms will help prepare for your visit to our office. Please print them, fill them out, and bring them with you when visiting our office.

All new patients, please fill out the Patient Registration Form and complete the HIPAA Privacy Notice:

• Patient Registration Form
  


• HIPAA Privacy Notice
  

For non-varicose vein patients, please fill out the Patient History Form:

• Patient History Form (for non-varicose vein patients)
  

For varicose vein patients, please fill out the Varicose Vein Patient Registration and Medical History Forms:

• Varicose Vein Patient Registration Form
  


• Varicose Vein Medical History Form
  

Pre-Procedure Instructions

• Closure Pre-Procedure Instructions
  


• Preparation for Sclerotherapy
  

Discharge Instructions

Click on the subject below to view the instructions.

Varicose Vein Procedures:

• Discharge Instructions Following Closure Procedure
  


• Discharge Instructions Following Varicose Vein Surgery
  


• Discharge Instructions Following Varicose Vein Surgery With Trivex
  

Aortic procedures:

• Discharge Instructions Following Endovascular Aortic Aneurysm Surgery
  


• Discharge Instructions Following Aortic Surgery
  

Other procedures:

• Discharge Instructions Following Angiography Angioplasty Stent Placement
  


• Discharge Instructions Following Carotid Endarterectomy
  


• Discharge Instructions Following Dialysis Access Surgery
  


• Discharge Instructions Following Leg Bypass Surgery
  

Notice of Privacy Practices

This notice of Privacy practices ("Notice") describes how we may use and disclose your health/medical information and how you can get access to this information.

• Notice of Privacy Practices

Adobe Acrobat Reader needed to view forms.