PAE Patient Intake Form

This form can be downloaded by clicking on the PDF icon. Fill out the form and then save it. Email the form to jorlando@teamviv.com or sbagla@teamviv.com

Discharge Instructions

This form can be downloaded by clicking on the PDF icon. This covers what to expect after the procedure. It is sometimes customized by the physician for individual patient situations

© 2019 by The Vascular Institute of Virginia

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To Schedule An Appointment

Call 703.763.5224