Patient forms for Fairfax Vein Center


To expedite the check in process, we ask that new patients please:

  • Print and complete the registration packet and bring it with you to your appointment
  • Bring your insurance card
  • Bring your physician’s referral

Vein Center Forms

Patient Registration Packet

The following forms are available to you as an additional resource. We will provide you with a copy of our Notice of Privacy Practices and the most relevant pre and post procedure instructions during your appointment.

Pre Procedure Instructions

Post Procedure Instructions

Guide to Vein Treatments – Patient Brochure