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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.

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VenaSeal™

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EVLT

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Phlebectomy

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Sclerotherapy

Patient Packets

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New Patient Packet

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Established Patient Packet

Patient Individual Forms

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New Patient Questionnaire

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Established Patient Questionnaire

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Patient Privacy Notice (HIPAA)

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Patient Demographics

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Vascular Questionnaire

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Authorization For Release of Medical Records

Informed Consent Forms

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VenaSeal™ Consent

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EVLT Consent

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Phlebectomy Consent

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Sclerotherapy Consent

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