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Patient Information

New Patient Packet

New Patient Forms (PDF)PDF Icon

For new patients:
Please feel free to download the new patient information packet at the right, print it, fill it out and bring it with you to your appointment. You will be asked to present your insurance card when you check-in at the office.

For existing patients:
If you are calling the office to request a prescription refill, please ask to speak to the nurse. We require at least 24 hours to accommodate such requests.
If you are calling with questions regarding a bill, billing statement, or to make a payment over the phone, please ask to speak to the office manager.

815 West Second Street Bloomington, IN, 47403
Office: 812.336.6008
Fax: 812.339.6947

225 South Pine Street, Suite 230
Seymour, IN, 47274
Office: 812.523.5860
Toll Free: 800.713.VEIN(8346)

© Ricardo Vasquez, MD