Forms


 

This New Patient Medical History form will help you consolidate your medical history in preparation for your visit to our office. Please print the form and fill it out by hand. Please bring this form with you when visiting our office.

Note: Completing this form online WILL NOT retain any record of your personal information. It is designed solely for your convenience, to help utilize your time with us most productively. You will need to print a second copy if you want to keep a record of this information.

Patient Information & Data Forms

This is a patient information form for patients.

VIEW PATIENT INFO FORM (.25MB)

Notice of Privacy Practices
Your medical information is personal, and we are committed to protecting your confidentiality. We create a record of the care and services that you receive at Vascular Associates of San Diego, which allows us to provide you with quality care and to comply with certain legal requirements.

VIEW NOTICE OF PRIVACY PRACTICES (.375MB)

Endovascular Procedure Instructions
This form includes important information and instructions about your procedure before and after.

VIEW ENDOVASCULAR PROCEDURES (.10MB)

Location
Vascular Associates of San Diego
8860 Center Drive, Suite 450
San Diego County

La Mesa, CA 91942
Phone: 619-375-1302
Fax: 619-460-6262
Office Hours

Get in touch

619-375-1302