You can choose between two FREE options for your consultation:
Clinic Consultation with our knowledgeable staff
At-Home Consultation kit mailed to you
Clinic Consultation
If you choose to visit us at one of our clinics, please complete the paperwork below before your appointment. It will save time. You can download the paperwork by clicking on a link below. You may also contact us and we send it to you in the mail.
If you would like to complete the paperwork in our clinic before your appointment, please arrive 30 minutes early.
At-Home Consultation
To request your At-Home Consultation kit, please click here.
The following forms are in PDF format. You may need to download Adobe's Acrobat Reader program, which is free, to allow you to fill out or print the forms.
Download Patient Demographic Sheet - will open in a separate window
Download HIPAA Forms -will open in a separate window
Download Adobe Acrobat Reader program - will open in a separate window
Schedule your free consultation by calling 866.FIX.VEIN today or make an appointment online.