Patient Forms & Information
Getting To Know You
First and foremost we care about your health. As part of providing you the very best care, we need to ask you to provide standard health information to have with you at your first appointment. We encourage you to print and fill these forms out ahead of time. This speeds up your time at our office and also allows you time to think about any questions you may want to ask us.
New Patient Forms
These forms and guidelines are essential in getting you the best and most effective treatment.
Please click on the links below, print them on your printer, and complete the forms with the requested information. You will need a PDF reader such as Adobe Acrobat to open the files.
Triangle Vein Clinic Form Descriptions
This is your basic contact information, primary care provider and insurance. This helps set you up as a Triangle Vein Clinic patient.
These are questions about your legs, varicose veins, different symptoms, and possible causes.
Review of Systems
This provides the doctor information about any symptoms or issues related to your general health.
Policies & Procedures
We ask you to read and sign this document which outlines your rights and Triangle Vein Clinic policies.
This outlines your medical history, allergies, family, social habits, etc. to help us determine concerns and goals.
This lets us know how you found us and to measure the effectiveness of our marketing.