A leader in vein treatment in the Coachella valley since 2001
New Patients
PATIENT INTAKE FORMS
Please download and complete The following Patient Intake Form.
Fax the completed form(s) to 760-610-5601 or bring them with you to your first appointment.
Faxing will expedite the process of determining insurance involvement if appropriate.
Fax the completed form(s) to 760-610-5601 or bring them with you to your first appointment.
Faxing will expedite the process of determining insurance involvement if appropriate.
