Please take some time to review, print and fill out these forms.
This will help to expedite your check-in at the time of your appointment. If you have any questions, please call us at 513-873-9700, press option number 1 and we will be happy to help.
Once you have completed these forms you can:
- Fax: 513-975-1217
- Email: forms@veinrg.com
- Or bring them with you to your appointment
Financial Agreement 2019New Patient Forms
We accept CareCredit
Working with CareCredit, we are able to offer zero interest for 6 month for qualified individuals. Please visit the CareCredit website or call us at 513-873-9700 to learn more.
