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Home > Care & Treatment > Lawrence Vein Center > Patient Forms
To make your initial visit to our vein clinic more convenient, please download, print and complete the forms below and bring them with you.
Patient Registration Form (docx) »
Consent Form (docx) »
Consent Form Spanish version
Patient History Form (pdf) »
Vein Screening Form (pdf) »
Call Lawrence Vein Center at 785-856-VEIN (8346) for assistance or appointments.
*The free screening is not available to Medicare and other federal healthcare beneficiaries.