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


  • A photo ID


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


  • 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