Patient Forms

 

Note: These forms require Adobe Acrobat Reader. Click the Adobe logo to download. Completed forms can be emailed here.

Initial Consultation Forms

Please download and fill out the new patient forms and bring them with you to your visit. Please allow a few moments for multi-page form download.

Directions: For individual forms, please click the “Download” button if the form opens in your web browser. Open this form on your computer, fill it out, save, and send it back or print it out and bring it in with you. Download All Forms (will download as a .ZIP file)

HIPAA Forms

At the Waterford Vein Institute of Hawaii we are HIPAA Compliant.

Consent Forms

Directions: Please click the “Download” button if the form opens in your web browser. Open this form on your computer, fill it out, save, and send it back or print it out and bring it in with you.

 

Pre-Procedural Care Forms

What to expect before your procedure: Before your procedure, Dr. Waterford will provide you with a detailed guide on how to prepare for your treatment. Please click on the links above to find pre-procedural care for varicose vein treatments.

 

Post-Procedural Care Forms

What to expect after your procedure: Unlike traditional vein stripping, which requires weeks for recovery, our state-of-the art vein treatments only require a few days of light activity. After your procedure, Dr. Waterford will provide you with a detailed guide to your post operative care. Please click on the links below to find a treatment overview for varicose and spider vein treatments.

Privacy Policy

Privacy Policy:
Welcome to the Waterford Vein Institute of Hawaii! We hope you have found the vein treatment information you were looking for. We know your right to privacy online is important, that’s why we’ve created a privacy policy and terms of use in order to answer any questions or concerns about the data we collect and what we do with that information. Please browse our site knowing that any information you provide is protected.

Personal Information:
Categories of information collected include name, address, e-mail address, and any symptoms you may be experiencing that you wish to include.

The information you share with us is used only in an effort to enhance your online experience and e-mail conversations so that you are obtaining useful, relevant information. Under no circumstances will we share your information to third parties or commercial entities.

We give you the opportunity to opt-in and we give you the power to opt-out of e-mail communications. Should you wish to opt-out, an unsubscribe link is included in every e-mail.

We may make revisions to this Privacy Policy, so please check back on this web site periodically for any updates.

More information on our Privacy Policy is available here.