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Thank you for choosing the Vascular & Endovascular Associates. We welcome you as our patient.  Prior to your first visit, please complete the NEW PATIENT FORM (below) and review the information below.  To save time at your first visit bring in your forms completed. If you have any questions, please contact us at (248) 688-9860.

Please Bring:

  • A list of all the medications you are currently taking
  • Include the dosage and frequency found on the Rx label
  • Please list non-prescription medicines and supplements as well
  • The name and phone number of your primary care doctor.
  • The name and phone number of your referring doctor (if different from your PCP) and a copy of your referral.
  • Any lab results or X-ray films provided by your referring doctor
  • Valid Drivers License
  • Health insurance card(s) or other information about your health coverage
Download New Patient Form Here
If you fill out the New Patient Form on your computer, make sure you print it out before closing it.
You can also print the form and fill it out by hand.
Please contact us at (248) 688-9860 if you have any questions.
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