Please print the forms related to your condition below, fill them out and bring them to your consultation. This will save you time on the day of your first appointment. Thank you.
Requires Adobe Acrobat
If you are new to Vein Institute Midwest, please take the time to print the following forms, complete them before your appointment, and bring them in with you at the time of your appointment. Alternatively, you may complete the forms on your computer, print them and then fax them to us at 913-322-2860.
Before your schedule procedure, please take the time to print the following forms, complete them before your procedure, and bring the completed forms with you at the time of your procedure.