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Patient Forms

Patient Forms

Please fill out the forms below carefully and completely, and bring them with you to your appointment, along with your current insurance card(s).

You may also want to bring a pair of loose fitting shorts to wear during your exam if we are seeing you for leg discomfort or leg veins (gowns are provided if you prefer). These patients often require a diagnostic vascular ultrasound exam to diagnose and determine the treatment needed.

For patients seeing us for aesthetic treatment, please allow 30-60 minutes for your initial consultation so we can discuss your concerns and recommend a treatment plan for best results.

Our office is located at St. Anthony Medical Building. Before your scheduled appointment we will send an information packet.

Thank you again for choosing Northwest Vein & Aesthetic Center. If you need additional information, please contact us at 253-857-8346.

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