Home Patient Forms Click here if you a new patient who has already been scheduled for an appointment. Click here if you’re a returning patient who has a procedure follow-up or needs to be seen for a new or recurring vein problem. Click here if you’re a prospective unscheduled patient who wants to be evaluated for a suspected vein problem. Patient Instructions Pre Venclose / Pre Venaseal Instructions Post Op Venclose Instructions Post Op Venaseal Instructions Postsclerotherapy Instructions Instructions for Patient’s First Scheduled Visit About Vein Disease About Vein Disease Lymphedema May Thurner Syndrome Nocturnal Leg cramps Restless Leg Syndrome Pregnancy and Varicose Veins Vein Treatments RFA (radiofrequency ablation) Venaseal Ultrasound Guided Sclerotherapy Superficial Sclerotherapy VeinGogh Compression Stockings For Providers Contact Us RESULTS OF SUPPORT STOCKING TRIAL Results of Support Stocking Trial Today's Date* MM slash DD slash YYYY Date of Initial Visit* MM slash DD slash YYYY Weeks Since Last VisitName* First Middle Last Suffix Date of Birth* MM slash DD slash YYYY AgeEmail* Enter Email Confirm Email I have worn the support stockings:* Yes No Elaborate Your Wearing of Support Stockings, if NecessaryI have taken pain medications* Yes No Type of pain medicationsRelief with support stockings:* Complete Partial No relief Elaborate Relief with Support Stockings, if necessary.
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