Alaska Vein Clinic

Instructions for Returning Patients

Whether you’re returning for a six-week procedure follow up, three-month support stocking re-evaluation, or we haven’t seen you in years, you’ve come to the right place!

Instructions for Returning Patients

Whether you’re returning for a six-week procedure follow up, three-month support stocking re-evaluation, or we haven’t seen you in years, you’ve come to the right place!

Step 1:

Please read the  Coronavirus Precautions

1. Unless it would present a severe hardship or the patient requires a guardian, only the patient should come to the office. Anyone accompanying the patient should wait in the car or the main lobby of the hospital. 

2. All patients should wear a face mask. Please bring a freshly washed face mask from home. If you cannot supply your own, we have a limited supply and will be provided one as long as supplies last. 

3. All patients should sanitize their hands upon entering the office. 

4. No one should come to the office who has a fever, cough, fatigue, loss of appetite, loss of appetite or smell, or body aches. 

5. No should come to the office within two weeks after exposure to someone with a Coronavirus infection. 

6. No one should come to the office who has traveled outside of Alaska within two weeks of their appointment.

7. We are not performing cosmetic vein procedures at the present time. 

Step 2:

Bring in the following items with you:

Photo ID

Insurance Cards (if insurance has changed since your last visit)

Medication list (if changed since your last visit)

Records of venous procedures done elsewhere, if available.

Step 3:

Update your patient registration, if there have been changes in your information.

Press here if there have been information changes.

Registration UpDate:

Please fill out the Registration Update if you have changed any personal information. You only need to fill those parts that have changed.

Step 4:

Fill our the online forms:

I an established patient returning for:

ClosureFast or Venaseal Follow-Up

Please fill out the following post-procedure follow-up form.

We look forward to seeing you after your procedure to answer your questions and discuss what should come next.

ClosureFast or Venaseal Follow-Up Visit

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Post Areas of Concern Here (optional):

  • Accepted file types: jpg, jpeg, png, gif.

Results of Support Stocking Trial

Results of Support Stocking Trial

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • MM slash DD slash YYYY

Sclerotherapy Follow-Up

Sclerotherapy Follow Up

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • Post Areas of Concern Diagram Here (Optional)

  • Accepted file types: jpg, jpeg, png, gif.

New or Continued Problems

Area(s) of Concern

If you like, you can download the leg diagram form below and use it in one of the three ways.

1. Mark your areas of concern with the application you used to open it, save and download it into the form as .pdf or Word (.docx) file.

2. Print it out, mark it, then scan or photograph it and upload the image to the form.

3. Same as choice 2, except just bring it with you at the time of your appointment.

 

Click Image Below to Download Diagram
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