Based on your answers, we would like to offer you a free vein screening to address your problems. Please use the form below and one of our vein specialists will be in touch.
If you’re visiting our vein center in Riverside for the first time, please arrive 15 minutes before your scheduled appointment time to complete all necessary forms. Or download them here and bring the completed forms to your appointment.
We encourage all patients to bring the following to their first office visit:
Please drink at least 6 to 8 glasses of water before your consultation since we will perform an ultrasound as part of your visit.
Please call our office if there are any changes to your name, address, telephone numbers, or insurance so that we can keep your records up to date.
If you are unable to keep your appointment, please call our office as soon as possible to reschedule or cancel.
Cancellation Policy: If you are unable to keep your appointment, please call our office as soon as possible to reschedule or cancel. Click here to review our Cancellation Policy.
Call us now at 1.800.VARICOSE if you have questions or wish to schedule your complimentary vein screening.
At Empire Vein Specialists, we strive to provide a high level of care for all types of vein disorders and venous disease symptoms. In order for us to deliver on this exceptional care, we need to gather information from you such as your medical history and current state of physical health. We will also need insurance information to process any claims and an emergency contact number.
Save time as a new patient by downloading and filling out the following forms. You will also find information about our policies, notices, and other details you need to review before your first visit:
If you are unable to fill out these forms prior to your appointment, please arrive 15 minutes early to complete them in our office.