Patient Information

Insurance and Payment Information

We accept all major insurance carriers and Medicare.

We also accept these major credit cards.

All Major Credit Cards Accepted

Insurance plans often cover ultrasound testing and Vein Treatment when it is for medical reasons. Only a comprehensive examination can document the existence of medical necessity.

For your convenience, you can also:
Apply for Care Credit

Apply for Care Credit

New Patients

In order to serve you better and faster we have provided our New Patient Information Form and Medical History Form online.

Download the New Patient Information Form, Authorization Form, and Patient Privacy Notice

Instructions:

Click on the links below to access the forms. After you click the link, a new browser window will open. After it opens, click on the 'PRINT' icon on your browser. After the form prints, fill it out and bring them into our office. Completing the New Patient Information Form and Medical Record Form will save you time on your initial visit!

New Patient Information  New Patient Information Form *

Patient Medical History  Medical History *

HIPPA Form  Authorization Form *

* You must have an Acrobat Reader installed on your computer to view Acrobat PDF files. If it is not already installed, you may download the free Acrobat PDF Reader.

Cosmetic Vein Centers of Texas
445 Bay Area Blvd.
Houston, TX 77058

Phone: 281-990-VEIN (8346)
Fax: 281-990-9984


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