Ozark Regional Vein Center

Ozark Regional Vein Center

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Vein Clinic479-777-8014
Aesthetics479-668-0168
  • Home
  • About Us
    • About Renew Aesthetics
    • Meet Dr. Kevin Haney
    • The Dr. Haney Difference
    • Professional Societies
    • Meet Kendra, RN & MA
    • Meet Jeannette, APRN
    • Meet Amy LMA
    • Office Tour
    • Careers
  • Aesthetic Services
    • Renew Aesthetics Prices
    • Injectables
      • Botox
      • Xeomin – The latest option for frown lines
      • Fillers: Belotero
      • Fillers: Juvederm
      • Fillers: Radiesse
      • Fillers: Restylane
      • Kybella
    • Skin Tightening/Body Contouring
      • BTL Vanquish ME
      • Exilis Ultra for Non-Surgical Skin Tightening
      • EMSCULPT
    • Vaginal Rejuvenation
    • Skin Rejuvenation
      • Visia Complexion Analysis
      • Hydrafacial MD
      • Chemical Peels
      • Chemical Peel: VI Peel
      • Dermaplaning
      • Facials/Extractions
      • Microdermabrasion
    • Hair Removal
      • Laser Hair Removal
      • Waxing Services
    • miraDry
    • Sclerotherapy
    • SkinCeuticals
    • Tanning Lotion and Body Scrub Treatments
    • Treatment for Skin Conditions
  • Before and After
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    • VIP Program
    • New Patient Forms
  • Testimonials
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    • miraDry Testimonials
    • Doctor.com Testimonials
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New Patient Forms

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]

Make an Appointment

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Location

Ozark Regional Vein Center
5433 W. Walsh Lane, Suite A
Rogers
Arkansas 72758
Phone: 479-777-8014

Fax: 479-464-9046

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Recent Posts

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