New Patient Form
The form below will provide important information about your health history to Dr. Kaufman, and should be filled out before your consultation. You are welcome to fill it out at our office on your first visit, or if you prefer, download it now and complete before you arrive. If you choose to fill out the form at our office, please arrive at least 30 minutes prior to your appointment. Please call us if you have any questions.
Notice of Privacy Practices Acknowledgement
Vein Health History Form