New Patient Information

The Circulatory System Demystified: Understanding the Differences Between Arterial and Venous Issues and How to Treat Them Effectively

05/03/2023

If you’ve been experiencing unexplained swelling, pain, or a sluggish feeling in your lower limbs, it might be time to take a closer look at the … Continue Reading

Role of Interventional Radiology in Treating Pelvic Congestion Syndrome

04/19/2023

Pelvic Congestion Syndrome (PCS) is a common medical condition that affects women of reproductive age, caused by the enlargement of veins in the … Continue Reading

Fibroids and Fertility: Understanding Uterine Fibroid Tumors and Their Impact on Reproductive Health

03/08/2023

Uterine fibroids are non-cancerous growths of the uterus that can have a major impact on the reproductive system. For many women, these benign tumors … Continue Reading

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Insurance Carrier	Member #	Group #	Effective Date

New Patient Information

Step 1 of 5 - Page 1

Patient Demographic Information

Communication Preferences

Emergency Contact

Primary Care Physician Information

Referring Physician Information

Preferred LOCAL Pharmacy

Preferred Lab for Bloodwork

Insurance Information