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860.761.6666

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        • Sclerotherapy
        • Closure/RFA
        • Microphlebectomy
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  • Vein Disorders
    • Spider Veins
    • Varicose Veins
    • Venous Ulcer
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    • Closure®/Radiofrequency Ablation
    • Sclerotherapy
    • Microphlebectomy
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    • Before and After Photos 1
    • Before and After Photos 2
    • Before and After Photos 3
  • Blog
  • Contact Us
  • Rewards Program
  • Current Specials
  • Home
  • Covid-19
  • Meet Dr. Greenwald
  • About Us
    • Medical Disclaimer
    • Vanishing Veins
    • Our Staff
    • Internet Privacy
    • Privacy Policy
    • Patient Resources
      • Insurances We Accept
      • Patient Instructions
        • Sclerotherapy
        • Closure/RFA
        • Microphlebectomy
        • VenaSeal
      • Patient Forms
  • Vein Disorders
    • Spider Veins
    • Varicose Veins
    • Venous Ulcer
  • Treatments
    • Closure®/Radiofrequency Ablation
    • Sclerotherapy
    • Microphlebectomy
    • VenaSeal
  • Patient Results
    • Testimonials
    • Before and After Photos 1
    • Before and After Photos 2
    • Before and After Photos 3
  • Blog
  • Contact Us
  • Rewards Program
  • Current Specials

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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

Vein Treatment Center 

1 Barnard Lane

Bloomfield,CT 06002

860-761-6666

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Copyright © 2022 Vanishing Veins. Lori L. Greenwald, MD PC. Bloomfield, Connecticut. All Rights Reserved.

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