Patient Forms

You’ll find all the necessary forms on this page to help make your visit with us more efficient. You’ll also find copies of forms we provide in the office after your treatment sessions under the General Forms Section”.

Forms you will need for your first visit

Please Fill out All Forms and Bring with to your appointment!

• Welcome Form
• Patient Medical History Form
• Venous History Form
• Conditions of Service Form

Discussion of Treatment Options

After the exam, we will discuss your best treatment options. Some treatments require more than one session to achieve desired results and we will talk about this possibility. We will also go over procedures in detail so you know exactly what to expect from subsequent visits. It is important for you to feel comfortable with the prescribed treatment, so feel free to ask any questions that come to mind.

To make your first session as productive as possible, please bring the following items with you:

• The name and phone number of your primary physician
• Your insurance card
• Any forms completed prior to the initial consultation