Venous Health History Form
Southern Vein Care Medical History Form
The following are the current insurance plans in which we participate:
Please give us a call and we can confirm whether we take your insurance.
A few important reminders:
Knowledge and proof of current insurance is the patient's responsibility. Please bring your insurance card with you each time you come to see the physician.
It is ultimately the patient's responsibility to understand coverage and to ensure payment is made for service provided.
If there is no verifiable insurance, services are provided on a "self-pay" basis. Self-pay services must be paid in full at the time services are provided. For your convenience, payments can be made by cash, check, or credit card. We accept MasterCard, Visa, American Express and Discover Card.