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To save you time during your Free* Vein Consultaion please take the time to print and fill out these new patiant forms. If you are not able to print these forms contact us here and we will mail you the froms.
 Health History Form
New Patient Information Form
To view our online forms you will need Adobe Acrobat Reader, to download click here.
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Call today to schedule your Complimentary*
Vein Consultation! or Click Here |
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Steven D. Bines MD
1725 West Harrison St. Suite 810
Chicago, IL 60612
Phone: (312) 942-VEIN (8346)
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Copyright©
2007 www.WindyCityVeinCenter.com All Rights Reserved |
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* additional testing or studies may be billed to insurance
Information contained within this web site is for informational purposes
only and does not replace the advice of your physician or one
of our complimentary* vein consultations and post operative visits.
