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Downloadable Forms

Ready to come in for your free consultation? Save time and fill out the required paperwork so you can have it ready the day of your consult. This will help eliminate waiting time in the lobby and allow you to carefully fill out the required forms.

Patient Registration Form (PDF) →

Vein History Questionnaire (PDF) →

Call us at 480-686-8121 or click here to schedule a consultation.

Schedule A Consultation

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    2310 W. Ray Rd.
    Chandler, AZ 85244
    22455 N. Miller Rd. B100
    Scottsdale, AZ 85255

    Office hours

    Monday - Thursday
    9am - 3pm

    Free Virtual Consultation