Vein Patient Forms

• New Patient Registration Form
  
• New Patient Medication History Form
  
• New Patient Health History Form
  
• Capitol Vein & Laser HIPAA & Financial Policy Form
  
• HIPAA Disclosure
  
  
• Missed Appointment / Cancellation Policy
  
• VNUS Closure “What to Expect”)
  
• VNUS Closure Post Operative Instructions
  
• Microphlebectomy “What to Expect”
  
• Microphlebectomy Post Operative Instructions
  
• Sclerotherapy “What to Expect”
  
• Sclerotherapy Post Operative Instructions
  
• Consent Form:
  • VNUS Closure
    
  • Microphlebectomy
    
  • Sclerotherapy

Vein Patient Forms (Spanish)

• Forma De Registro De Paciente
• Forma de historia de medicamento para pacientes nuevos
• Forma de historia de salúd para pacientes nuevos

• Aviso de Prácticas de Privacidad y Poliza Financiera de Capitol Vein & Laser
• Póliza de Cita Perdida or Cancelada
• VNUS Closure – “Que Se Puede Esperar” 
• VNUS Closure - Instrucciones Posoperativas
• Microflebectomia – “Que Se Puede Esperar”
• Microflebectomia - Instrucciones Posoperativas
• Escleroterapia –  “Que Se Puede Esperar”
• Escleroterapia - Instrucciones Posoperativas
• Forma De Consentimiento:
• VNUS Closure
• Microflebectomia
• Escleroterapia

Med Spa Patient Forms

• New Patient Registration Form
  


• Skin History/ Laser Evaluation Form
  
• Fitzpatrick Skin Type Evaluation
  
• Capitol Vein & Laser HIPAA & Financial Policy Form
  
• HIPAA Disclosure
  
• Missed Appointment / Cancellation Policy
  
• Botox Post Treatment Instructions
  
• Dermal Filler (Restylane & Juvederm) Post Treatment InstructionsEnglish
  
• Laser Hair Removal Post Treatment Instructions
  
• IPL Post Treatment Instructions
  
• Fraxel Post Treatment Instructions
  
• Consent Forms:
  
  • Botox
    
  • Dermal Filler
    
  • Laser Hair Removal
    
  • IPL
    
  • Fraxel

Med Spa Patient Forms (Spanish)

• Forma de Registración para Pacientes Nuevos

• Historia de Piel / Forma de Evaluación para Laser
• Evaluación de Piel Fitzpatrick
• Aviso de Prácticas de Privacidad y Poliza Financiera de Capitol Vein & Laser
• Instrucciones para después de tratamiento BOTOX
• Instrucciones para después de Relleno Dermal (Restylane y Juvederm)
• Instrucciones para después de depilación a base de Laser
• Instrucciones para después de tratameinto IPL (luz pulsada intensa)
• Instrucciones para después de Fraxel
• Formas de Consentimiento        
• Botox
• Relleno Dermal
• Depilación a base de Laser
• IPL (Luz pulsada intensa)

 

12.15.2008
Inclement Weather Schedule...
  All office locations are currently...

12.15.2008
Paul McNeill, MD Co-director of Total Vein Care 2008...
Dr. McNeill has just returned from Las Vegas,...

11.11.2008
Drs. Rosenberg and McNeill attend American College of Phlebology annual...
Garth Rosenberg, MD and Paul M. McNeill,...

11.08.2008
Capitol Vein and Laser hosts perforator vein symposium...
Drs. Rosenberg and McNeill hosted 14 visiting vein...

08.29.2008
Free Community Screenings for those with Varicose Veins, Swollen, Aching or...
Free limited ultrasounds and leg examinations by...

08.29.2008
Dr. McNeill speaks at free Symposium on Vascular Disease...
Saturday, September 20th, 10am to 1pm at Frederick...

08.14.2008
Drs McNeill and Rosenberg become Board Certified in Phlebology...
Press Release: July 24, 2008 Frederick...

08.14.2008
Vein disease detection: Autumn 2008 - Free Community Vein Screenings...
Free limited ultrasounds and leg examinations...