Self Assessment

The following information will assist our clinicians in determining the cause of your leg pain or other symptoms. Please answer all of the questions and submit your answers to our clinicians for review. Someone from our office will contact you regarding your results.
If you answered "yes" to one or more of the questions above, you may be a candidate for vascular screening and/or treatment. One of our clinicians will contact you promptly (typically within 24 hours) to schedule an appointment for you. Please complete the following questions to help us accommodate your schedule.