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Dr. Mimi Lee Home Page
Spider Veins, Sclerotherapy
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New Patients Forms*
 

To save you time on your consultation appointment, please print and complete the 7 patient forms below and bring the completed forms to us on your first visit.

Instructions:

Click on the links below to open a new window containing the form. From this window you can use your browser's print function to print the document.

Alternatively, you can "right-click" on the link below, and select "save as" to save the file to your computer for later use or printing.


Patient History Form - click here to open
   
Patient Registration Form - click here to open
   
Varicose Vein Questionnaire - click here to open
   
Contact Methods - click here to open
   
Appointment and Financial Policies - click here to open
   
HIPAA Privacy Notice - click here to open
   
To download or open all 6 documents - click here
 

* You will need a copy of Adobe Acrobat Reader to view these files. You can download this application free of charge here (for both PC and Macintosh computing platforms).

 

 
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