Patient Forms

Before and After your Procedure Instructions

As a patient of Dr. Vijay Ramanath’s, we have compiled a list of helpful resources in order to help you before and after your vein procedures. Please call our office at (972) 378-9560 if you have any additional questions.

VenaSeal™

EVLT

Phlebectomy

Sclerotherapy

Patient Packets

New Patient Packet

Established Patient Packet

Patient Individual Forms

New Patient Questionnaire

Established Patient Questionnaire

Patient Privacy Notice (HIPAA)

Patient Demographics

Vascular Questionnaire

Authorization For Release of Medical Records

Informed Consent Forms

VenaSeal™ Consent

EVLT Consent

Phlebectomy Consent

Sclerotherapy Consent

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