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  • Blog
  • Contact Us
  • Our Center
    • The Anatomy of a Vein Center
    • IAC Accreditation
  • Dr. Schwartz
    • About Dr. Schwartz
    • What makes us unique
    • American College of Surgeons
    • American Board of Surgery
    • Membership Affiliations
  • Services
    • All Services
    • Varicose Veins
    • Spider Veins
    • Leg Veins
    • Hand Veins
    • Facial Veins
    • Endovenous Laser Ablation
    • Ultrasound Guided Sclerotherapy
    • Endovenous Radiofrequency Ablation
    • Sclerotherapy
  • New Patients
    • Initial Vein Consultation
    • New Patient Forms
  • Patient Resources
    • Office Forms
    • CareCredit Financing®
    • Before & After
    • Frequently Asked Questions
    • Patient Testimonials
  • Blog
  • Contact Us

New Patient Forms

Please download and fill out the new patient forms and bring them with you to your visit.

Medical History Form

Quality of Life Form

Notice of Privacy Practices

Receipt of Privacy Practices

Request An Appointment Today!

Call us at 516-869-8346 or fill out the form below. 

Treating Varicose Veins, Spider Veins & more in and around Queens and Long Island.

North Shore Vein Center

1 Hollow Lane, Suite 210
New Hyde Park, NY 11042

  • Phone: 516-869-8346
  • Fax: 516-773-6133
Our Vein Clinic Hours
  • Monday – Friday
  • 9 am – 5 pm
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