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We recommend printing and completing the following forms before arriving for your initial consultation. By completing these forms prior to your consultation, we can ensure you will have a timely appointment with one of our specialists.

Form Title Description File Size
Benefits Assignment (Spanish) Complete this form before arriving for your free consultation. 0.24MB
Consent Form (Spanish) Complete this form before arriving for your free consultation. 0.18MB
Medication List (English) Complete this form before arriving for your free consultation. 0.28MB
Medication List (Spanish) Complete this form before arriving for your free consultation. 0.33MB
Financial Responsibility (Spanish) Complete this form before arriving for your free consultation. 0.22MB
Financial Agreement (English) Complete this form before arriving for your free consultation. 0.12MB
Patient Application (Spanish) Complete this form before arriving for your free consultation. 0.27MB
Patient Demographic Information (English) Complete this form before arriving for your free consultation. 0.30MB

We are dedicated to providing you with the best patient care, the latest techniques, and the most qualified medical team anywhere! Patients are our #1 priority. We hope you will consider scheduling a Free, No Obligation Consultation Today!
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Copyright © 2007. Vascular Vein Centers, LLC. All Rights Reserved
The Vascular Vein Centers specialize in the diagnosis and treatment of varicose veins, facial, hand and spider veins, venous skin changes, and ulcers. Our team of experts has over 25 years experience in this highly specialized and changing field, treating thousands of patients annually. With a focus on outstanding patient care, implementing the latest technologies, and providing patients with a new outlook on life, the Vascular Vein Centers are the leaders in the treatment of varicose and spider veins.