New Patient Forms

Your Health Journey Begins Here

Streamlining New Patient Paperwork

Welcome to West Florida Vascular & Vein. To ensure a smooth and efficient registration process, we kindly request all new patients to download the necessary paperwork provided below. By filling out these forms prior to your first visit, you help us expedite your registration process, allowing us more time to focus on your health needs right from the start. This step is crucial in helping us understand your medical history and current health status better. We appreciate your cooperation and look forward to serving you.

Patient Information Form

Please fill out this form prior to your visit to West Florida Vein Center.

Patient Information Form

Please fill out this form prior to your visit to West Florida Vein Center.

Patient Waiver

West Florida Vascular & Vein will have you read and sign this form prior to your procedure.

Laser Vein Ablation Pre-Operative Instructions

West Florida Vein & Vascular will have you read these pre-operative instructions to the Laser Vein Ablation procedure prior to your procedure being performed.

Laser Vein Ablation Post-Operative Instructions

West Florida Vein & Vascular will have you read and sign these post-operative instructions to the Laser Vein Ablation procedure prior to your procedure being performed.

Laser Vein Ablation Informed Consent Form

West Florida Vascular & Vein will have you read and sign this form prior to your Laser Vein Ablation procedure being performed.

Embark on Your Journey to Better Health: Getting Started with Us

With the right medical team by your side and a personalized treatment plan in place, you’re on the best path towards a healthier, more active lifestyle. Dr. Mark Zuzga, D.O., is here to help you navigate this journey towards relief. With his extensive experience and compassionate approach, he is committed to providing effective treatments tailored to your unique needs. Don’t wait for the pain to dictate your life. Reach out to schedule a consultation with Dr. Zuzga today, and take the first step towards reclaiming your health and well-being.

Schedule A Vein Screening

Schedule An Arterial Screening

Mon - Fri:	8:00am - 5:00pm
Saturday:	Office Closed
Sunday:	Office Closed

Office Hours

Your Health Journey Begins Here

Streamlining New Patient Paperwork

Patient Information Form

Patient Information Form

Patient Waiver

Laser Vein Ablation Pre-Operative Instructions

Laser Vein Ablation Post-Operative Instructions

Laser Vein Ablation Informed Consent Form

Embark on Your Journey to Better Health: Getting Started with Us

Contact Us

What We Offer

Visiting Hours

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