Please fill out all of these forms and fax to our office or bring forms with you to your initial consultation appointment. For the safety of your information we will need you to fill out hard copies of these documents.
New Patient Registration
New Patient Health History
Patient Vein History
Condition of Services
Choose your preferred location
Visage at the Vein Clinic, Imperial Valley
Visage at the Vein Clinic, Temecula Valley