Valley Imaging Consultants

Valley Imaging ConsultantsValley Imaging ConsultantsValley Imaging Consultants

Valley Imaging Consultants

Valley Imaging ConsultantsValley Imaging ConsultantsValley Imaging Consultants
  • Home
  • About us
  • Radiologists
  • Varicose Vein Treatment
  • Interventional Radiology
  • Diagnostic Radiology
  • Contact/Appointments
  • Policies & Procedures
  • Insurance Accepted
  • Forms
  • More
    • Home
    • About us
    • Radiologists
    • Varicose Vein Treatment
    • Interventional Radiology
    • Diagnostic Radiology
    • Contact/Appointments
    • Policies & Procedures
    • Insurance Accepted
    • Forms
  • Home
  • About us
  • Radiologists
  • Varicose Vein Treatment
  • Interventional Radiology
  • Diagnostic Radiology
  • Contact/Appointments
  • Policies & Procedures
  • Insurance Accepted
  • Forms

Medical Record Release

Medical Record Release (pdf)Download

New Patient Registration

New patients or patients that have not been seen in last 6 months please complete this packet of information and bring with you to your visit.  If you do not have the ability to print please arrive to your appointment 10 minutes early to complete make sure you bring your photo ID, Insurance Card(s) and up to date list of medications or supplements you take daily.

VIC Patient Paperwork (pdf)Download

VARICOSE VEIN PACKET

Please complete this packet of information along with the "New Patient Registration" bring to your first appointment.  If you are unable to print, please arrive to your appointment 10 minutes early to complete.

VIC Varicose Vein History (pdf)Download

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