Patient Forms

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Patient Information

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New Patient Medical Venous History

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Summary of Privacy Practices

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New Patient Financial Agreement

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Patient Privacy Questionnaire

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Medical Records Release

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Patient Information

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New Patient Medical Venous History

i

Summary of Privacy Practices

i

New Patient Financial Agreement

i

Patient Privacy Questionnaire

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Medical Records Release

Working Hours

Mon – Thur | 7am-12pm; 1pm-5pm

Fri – Sun | Closed

Contact Us

Book an appointment and get in touch with our staff today.

Call us anytime

813-681-7512

Message us

doris@gulfcoastveinandlaser.com

Visit us

302 Bryan Road, Suite 2 
Brandon, FL 33511

Schedule now

Contact us

Feel beautiful, be beautiful

Discover a new you

We offer a variety of services to help accomodate your needs.

Phlebectomy

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Spider Veins

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Varicose Veins

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Venous Insufficiency

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Endovenous Ablation

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Leg Pain

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Venous Ulcer

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Sclerotherapy

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Schedule An Appointment With Us Today 

CONTACT US NOW

Important Announcement!

We would like to announce the upcoming retirement of Dr. John Butterick and Dr. Wynton Hall.

We would like to say a heartfelt Thank You to all of our patients that have been so faithful and loyal to us for many years.

If you would like to request Medical Records, please fill out a form and send to our office at 302 Bryan Road, Suite 2, Brandon, FL 33511. Alternatively, you can email a signed copy to gulfcoastveinandlasercenter@gmail.com. It may take up to 72 hours to provide your information.

We will be receiving requests through May 30, 2022.

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