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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.

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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