Overlake Medical Tower:  1135 116th Avenue N E .  Suite 220   .   Bellevue, Wa 98004
Evergreen Professional Center:  12303 NE 130th Lane .  Suite 400   .   Kirkland, Wa 98034

Phone: 425.450.7007
Fax: 425.450.0026

Online Patient Education Center

NorthPoint Domain and the Society for Vascular Surgery (SVS) provide this online patient education through a joint licensing agreement for personal use by patients, physicians, and other health care professionals.

All copyrights for the patient education content are solely owned by NorthPoint Domain. All copyrights for patient education illustrations are solely owned by SVS. Licensing allows use of this educational material only through the SVS Web site (VascularWeb.org).

Conditions Abdominal Aneurysm Aortoiliac Disease Arm Artery Disease Carotid Artery Disease Claudication Deep Vein Thrombosis Diabetic Problems Hyperlipidemia Lymphedema Mesenteric Ischemia Peripheral Aneurysm Peripheral Arterial Disease Pulmonary Embolism Renovascular Conditions Thoracic Aortic Aneurysm Thoracic Outlet Syndrome Varicose Veins Venous Insufficiency

Tests Angiogram Ankle-Brachial Index CT Angiography Duplex Ultrasound MR Angiogram

Treatments Angioplasty Stenting Carotid Endarterectomy Carotid Stenting Dialysis Access Endarterectomy Endovascular Stent Graft Exercise Foot Care Surgical Aneurysm Repair Surgical Bypass Thrombolytic Therapy Venous Access

Downloadable forms

The following forms are available for download. Your Doctor may have instructed you to download and fill out a particular form in advance...

Forms for Dr. Ombrellaro

• Patient Registration Form
• Patient History Form
• Doctor Referral Form
• Postop Instructions
• Postop Laser Instructions
• Authorizatioin of my Health Care Information
• Patient Privacy Information
• Medical Records Release Form

Forms for Dr. Rubin

• Patient Registration Form
• Patient History Form
• Doctor Referral Form
• Postop Instructions
• Postop Laser Instructions
• Authorizatioin of my Health Care Information
• Patient Privacy Information
• Medical Records Release Form

All Content on this Site © Eastside Vascular, All Rights Reserved.