
PATIENT FORMS
For your convenience, we have provided an easy way to submit your patient forms:
Click on the icons above to download and print the forms. Fill out prior to your office visit and bring with you at the time of your appoointment.
For Insurance quesitons, email:
For Nursing and Surgery scheduling, email:
OFFICE:
St. Joseph Office Park
1401 Harrodsburg Rd.
Suite C-100
Lexington, Kentucky 40504
859.278.4960
HOURS:
Monday — Friday
9:00 am - 5:00 pm by appointment
Vascular Lab Tests — 8:30 am
For Questions or Assistance:
Questions or Concerns:
Roxane
Office Manager
ext. 1001
For Questions About Insurance,
Disability, and Precertifications:
Tina
Insurance Specialist
ext. 1016
Procedure Scheduling or General Questions or Concerns:
Crystal Ratliff, CMA
ext. 1028
Appointments:
ext "1" operator
Payment Options
TOTAL VEIN CARE offers several payment options and we file all insurance claims for you.
Insurance Accepted
We accept most insurance plans, inlcuding medicare and medicaid. Feel free to call the office to find out
if we participate with your insurance provider.
No Insurance?
We offer Care Credit or we can set up a flexible payment schdule option by simply inquiring when
you call for an appointment.




