Patient forms to get you started
Here are all the forms and information you need to get a head start on your first visit and learn more about Center for Vein Restoration.
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New Patient Registration Forms (English)
Download and print patient forms. Fill them out and bring them with you to your first appointment with CVR.
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New Patient Registration Forms (Spanish)
Download and print patient forms. Fill them out and bring them with you to your first appointment with CVR.
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Notice of Privacy Practices
Click to view or print the Practice's Notice of Privacy Practices.
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CVR Medical Records Release Form HIPAA (English)
Complete this Authorization for copies of your records for you and your provider.
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CVR Medical Records Release Form HIPAA (Spanish)
Complete this Authorization for copies of your records for you and your provider.
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Patient Handbook (English)
For more information about the Center for Vein Restoration and your upcoming procedure, print and review our patient handbook.
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Patient Handbook (Spanish)
Para obtener más información sobre el Center for Vein Restoration y su próximo procedimiento, imprima y revise nuestro manual del paciente.
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Financial Support (English & Spanish)
CVR does everything possible to help you get the vascular care you need without delay or financial hardship. Learn how you can afford the care you need.
Patient Survey
Providing feedback on your experience with us is one of the best ways to help us improve. Please take our brief survey here.