At the bottom of this page you can download forms to complete and print (or e-mail / fax). If you have recent medical documentation, bring it along when you visit our offices in Manhattan. An ultrasound may be needed, and depending on availability we might be able to perform it at initial consultation. Evaluation, testing, and discussion will take about 60 to 90 minutes.
245 Fifth Avenue, 3rd Fl. New York, New York 10016, United States
Tel. : 212-457-1491 FAX: 877-299-8224
Please download and fill the forms at the bottom of this page, and
All forms are also available on Portal or on Zocdoc.
Fillable Intake Form (pdf)
DownloadDo not rely on communication through this website for any medical needs. This website is not designed to facilitate medical emergencies, in case of an emergency call 911. Users should not rely upon this website for medical treatment and should not schedule an appointment if urgent.
EAST VEIN CENTER
245 5th Ave, 3rd Floor, New York 10016, United States Tel (646) 817-8583 FAX (877) 299-8224
Copyright © 2022 East Vein and Lymphatic Centers - All Rights Reserved.
This website does not provide medical advice.