Registering as a New Patient

Welcome! We'd like to take this opportunity to welcome you to Northern Valley Vascular Associates, LLC and to thank you for choosing our practice. We are constantly striving to make our patients' visits more efficient. We invite you to begin your new patient registration as soon as you'd like by following these directions:

1. Fill out the following forms
This can be downloaded directly from this website. Please print, fill out, and bring to your appointment.

2. Prepare for your Office Visit
In addition to completing the above forms, we will also require the following information for your fist visit:

  • Driver's License or Other Valid Government-Issued Photo Id
  • Insurance card
  • If applicable, any referral forms
  • If applicable, any X-Rays, MRI Films, CT Scans, or EMG
  • If applicable, any pertinent medical history such as lab results
  • For patients seeking consultation about vein disease, please complete our Vein Questionnaire

3. Get Directions to Our Office

Visit our Locations page to see a map of our office and get personalized driving directions.

4. We Look Forward to Seeing You!

Please arrive 20 minutes early if you have not yet filled out these forms.  If you have completed forms with you, you only need to check in with the reception desk 5 minutes before your scheduled appointment.

Thank you for your assistance completing this information.  We look forward to seeing you on the day of your appointment!