Kevin D. Nolan MD, William F. Oppat MD, Tamer N. Boules MD, and Pritham P. Reddy, MD

In October 2007, Dr. Oppat, a civilian vascular surgeon, volunteered to treat American troops overseas at the American Military Hospital in Germany.

This is a consent form for your procedure form.

If you need to contact a HIPAA officer, this form has the contact information.

Read the HIPAA Privacy Act. You may also print, sign and return to office.

Print, complete and return this general information sheet for our records.

This is an informed consent form for your sclerotherapy procedure.

Print, complete and return the medical record release form. This allows us to obtain your medical records from the physician or hospital you specify.

Print this 2-page medical history form and bring to your appointment. This will save you time in the office filling out your paperwork.

This 3-page questionnaire aids in the proper diagnosis and treatment of your veins.

Comprehensive Vascular and Endovascular Care