Region Vein Patient Portal Information
By clicking on the link below you will be directed away from our website to our Fully Secure Patient Portal. The Patient Portal will open in a new tab/window in your browser.
About the Patient Portal:
New Patients will receive an email with a username and temporary password to access the Patient Portal.
This Patient Portal will provide a secure website for new patients to provide their patient history through an online patient questionnaire prior to coming in for their first appointment.
If you are unable to complete the patient questionnaire online prior to your visit, please arrive 20-30 minutes early for your scheduled appointment to complete this information in our office.
New Patient Forms
You can click on this link to print out our new patient forms and bring it with you to your appointment.
Medical Records Release Form
You can also click on this link to print out our medical records release form and bring it with you to your appointment.
For any questions, please contact us at 219-595-3095 or firstname.lastname@example.org