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860-761-6666

CALL US NOW

860-761-6666

  • Meet Dr. Greenwald
  • About Us
    • Vanishing Veins
    • Our Staff
    • Testimonials
    • Medical Disclaimer
    • Patient Resources
      • Insurances We Accept
      • Patient Forms
      • Patient Instructions
        • Sclerotherapy
        • Closure/RFA
        • Microphlebectomy
  • Vein Disorders
    • Spider Veins
    • Varicose Veins
    • Venous Ulcer
  • Vein Treatments
    • Closure® / Radiofrequency Ablation
    • Sclerotherapy
    • Microphlebectomy
    • Venous Doppler
    • DVT Imaging
  • Alma TED Hair Restoration
  • Patient Results
    • Before and After Photos 1
    • Before and After Photos 2
    • Before and After Photos 3
  • Current Specials
  • Contact

Patient Forms

Below you will find the forms that are required by our office for all patients. You can fill them out if you prefer prior to your appointment. They are PDF files.

  1. Vein Patient Insurance Authorization form
  2. Vein Patient Demographic form
  3. Vein Patient Medical History form
  4. Vein Patient Privacy form
  • Meet Dr. Greenwald
  • About Us
    • Vanishing Veins
    • Our Staff
    • Testimonials
    • Medical Disclaimer
    • Patient Resources
      • Insurances We Accept
      • Patient Forms
      • Patient Instructions
        • Sclerotherapy
        • Closure/RFA
        • Microphlebectomy
  • Vein Disorders
    • Spider Veins
    • Varicose Veins
    • Venous Ulcer
  • Vein Treatments
    • Closure® / Radiofrequency Ablation
    • Sclerotherapy
    • Microphlebectomy
    • Venous Doppler
    • DVT Imaging
  • Alma TED Hair Restoration
  • Patient Results
    • Before and After Photos 1
    • Before and After Photos 2
    • Before and After Photos 3
  • Current Specials
  • Contact
  • Follow
  • Follow
  • Follow
Policies
  • Internet Privacy
  • Privacy Policy
  • Terms Of Use
  • Disclaimer
  • Medical Disclaimer
  • COVID-19
Resources
  • Insurances We Accept
  • Patient Forms
  • Payment and Insurance Options
  • Contact Us
  • Blog

Our location in Bloomfield, Connecticut was carefully chosen so that our facility is conveniently located to virtually all of Connecticut. We are within a few minutes’ drive of anywhere in the bordering towns of Avon, Simsbury, West Hartford, Granby, Windsor and Hartford. We are also within a few minutes’ drive of those areas often referred to as “east of the river”. Routes 91, 384, 84 and 9 are each just a short distance away, so all areas of Connecticut and Southern Massachusetts are within easy driving distance of our medical spa.

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