Consultations

We are here to help provide patients with the initial consultations that start the dialogue from patient to physician regarding their vascular care and potential treatments.

Schedule a Consultation

This consultation allows the physician to review your health history, any pertinent prior imaging and/or results, as well as your symptoms that prompted the appointment.

First Name

Please enter a valid first name.

Last Name

Please enter a valid last name.

Email Address

Please enter a valid email address.

Phone Number

Please enter a valid phone number.

Date of Birth

Please enter a valid date of birth.

Insurance Provider

Please enter a valid insurance provider.

What is your gender?*

Female

Male

Does your job require you to:*

Sit for long periods of time

Stand for long periods of time

Both sit and stand periodically for moderate periods of time

Are you currently taking medications containing estrogen or progesterone, such as oral contraceptives (birth control pills) or other hormonal treatments?*

Yes

Are you currently or have you ever been pregnant?*

Yes

Have you ever experienced a physical trauma and/or surgery?*

Yes

To the best of your knowledge, do you have a family history of vein disease*

Yes

Unsure

Have you had any prior treatment? If yes, please explain:

Select the photo series that most closely resembles your own legs. If each leg has different symptoms, please select multiple photos*

Series 1