Michael Traurig, MD, RVT, RPVI, RPHS

Patient Forms

To provide you with the best treatment, we must gather important information regarding your medical history and current physical condition. We also need to keep emergency contacts and insurance information up-to-date.

For your convenience, these forms are available below. Please give the completed forms to the receptionist when you check-in for your scheduled appointment. If you choose not to fill the form out before your appointment, please arrive 10-15 minutes early to complete the forms.

New Patient Forms

HIPPA Privacy Notice

The above forms all require Adobe Acrobat Reader. You may download Adobe by following this link.

I have no more leg pain after treatment I received from Vein Centers for Excellence of Greenville. Originally, I was under the impression that it was going to be invasive and painful, but I was surprised by the simple treatment, which brought about excellent results.

– Ruby C.

Michael Traurig
MD, RVT, RPVI, RPHS

Doctor

Find out which varicose vein treatment is right for you –
call now to learn more or schedule an appointment: 864-235-9008.