Patient Forms

Downloadable Forms and Documents

Save time and stay informed

At Desert Vein & Vascular Institute, we strive to make it easy to get advanced, effective care and solutions for vein disorders and for vascular issues. To provide you with the best treatment, we must gather important information about your medical history and current physical condition. We also need to keep your emergency contacts and insurance information up-to-date.

So we invite you to save time and maximize the convenience of your first DVVI visit by downloading these forms, then completing them, and bringing the paperwork with you for your first appointment. You can also download our other forms, notices, and policies that may pertain to you or your loved one:

The above forms require Adobe Acrobat Reader™. You may download Acrobat Reader by clicking here:

If you choose not to fill the forms out before your appointment, please arrive 15 minutes early to complete the forms in our office.

Have a question? Visit our FAQs page. Not sure what to expect when you come to see Dr. Sivia or Dr. Yu? Learn about your first visit here.
Call us now to learn more or to schedule a complimentary consultation: (760) 568-3461

AMA
ABS
SVS
SLS
VESurgery
ACS
Eisenhower
Desert Regional
JFK
Phlebology
Desert Vein Institute

Desert
Vein and Vascular
Institute

71780 San Jacinto Drive
Building I
Rancho Mirage, CA 92270
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Tel: 760.568.3461