AVC Complete Vein Questionnaire

This is the complete questionnaire for the Alaska Vein Clinic.  It should be completed by all new AVC patients.  We have very few required elements, but we would appreciate you taking the time to fill out the form as completely as you can.

If you would prefer to download and print out a paper form, fill it out, and bring it to the office with you, click  here:

Alaska Vein Questionnaire v2