Initial Consultation Forms
Please download and fill out the forms and bring them with you to your visit. Please allow a few moments for multi-page form download.
- Patient Registration [Download PDF]
- Health History Form [Download PDF]
- Patient Payment Responsibility Form [Download PDF]
- Office Consent Form [Download PDF]
- Notice of Privacy Practices [Download PDF]
Procedural Forms
Sclerotherapy
- Sclerotherapy Consent [Download PDF]
- Sclerotherapy Pre-Op Instructions [Download PDF]
- Sclerotherapy Post-Op Instructions [Download PDF]
Radiofrequency Ablation
- RFA Consent [Download PDF]
- RFA Pre-Op Instructions [Download PDF]
- RFA Post-Op Instructions [Download PDF]
Ambulatory Phlebectomy
- Ambulatory Phlebectomy Consent [Download PDF]
- Ambulatory Phlebectomy Pre-Op Instructions [Download PDF]
- Ambulatory Phlebectomy Post-Op Instructions [Download PDF]
Formas de Procedimiento
- Regimen Despues del Tratamiento [Descargar PDF]
Escleroterapia
- Instrucciones de Escleroterapia Post-Procedimiento [Descargar PDF]
Ablación
- Instrucciones de Ablación Post-Procedimiento [Descargar PDF]
Flebectomía Ambulatoria
- Instrucciones de Flebectomía Ambulatoria Post-Procedimiento [Descargar PDF]
