Patient Forms 2018-05-11T20:22:32+00:00

Patient Forms

Please fill out the below forms completely and bring them with you to your appointment. Note: You can fill out the forms on your computer prior to printing if you so choose. 

Sclerotherapy Patient Instructions

At Vascular Specialists of Central Florida, we recommend you come into the office for a scheduled consultation prior to your sclerotherapy session.  During this consultation it will be determined if you are a candidate for sclerotherapy, and if so, all of your questions regarding the procedure will be answered at this time.

This way, when you come for your session, time will not be taken away from your appointment discussing the procedure.  The average consultation lasts approximately 15 minutes.  Sclerotherapy sessions can be scheduled for 1/2 hour or 1 hour, as desired.

Pre- and post- procedure instructions are available by clicking the following links:

Please be advised we try to stay on time for our sclerotherapy appointments.  Arriving late will limit the time of your treatment.  Your treatment will end on time so the next client will not be delayed.  The full value of your treatment will be charged.  If you reschedule or cancel your appointment, please notify the practice at least 24 hours in advance to avoid being charged the full service fee.  Please be advised we do not perform sclerotherapy on pregnant or breastfeeding women.

Contact Us

At Vascular Specialists of Central Florida, our vascular specialists, clinical staff and administrative staff are highly trained and able to assist you throughout every aspect of your vascular care.

Get Started