Please view the checklist below to help you prepare for your visit. 

• Please arrive to your appointment 15 mins early to fill out paperwork, or please feel free to print new patient paperwork below & bring to our office.  

                                      HIPPA AGREEMENT

                                      PATIENT  INFO

                                      PATIENT QUESTIONNAIRE

• Valid insurance card

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• A photo ID

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• Medication list with dosages or please bring your medication bottles.

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• REFERRAL:  If your insurance plan requires a referral, it is your responsibility to make sure our office has one on file.

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• COPAY: Your office visit co-pay is due at the time of service. 

The Russell Center for Vein & Vascular Care 

Call Us:  +1.9316850986