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Renew Aesthetics
|
Ozark Regional Vein Center
|
The Edge
479.777.8014
Schedule My Consultation
Virtual Vein Screening Tool
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Vein Services
Spider Veins
What are Spider Veins?
Treatments for Spider Veins
Varicose Veins
What are Varicose Veins?
Treatments for Varicose Veins
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About
About Ozark Regional Vein Center
Meet our Team
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Spider Veins
What are Spider Veins?
Treatments for Spider Veins
Varicose Veins
What are Varicose Veins?
Treatments for Varicose Veins
Back
About Ozark Regional Vein Center
Meet our Team
Back
Specials & Events
News (Blog)
Make A Payment
479.777.8014
Schedule My Consultation
Virtual Vein Screening Tool
Renew Aesthetics
|
Ozark Regional Vein Center
|
The Edge
479.777.8014
Schedule My Consultation
Virtual Vein Screening Tool
Vein Services
Spider Veins
What are Spider Veins?
Treatments for Spider Veins
Varicose Veins
What are Varicose Veins?
Treatments for Varicose Veins
Products
About
About Ozark Regional Vein Center
Meet our Team
Contact
Specials & Events
News (Blog)
Make A Payment
Vein Treatments Near Me
Vein Screening Tool
First Name
*
Phone Number
*
Email Address
*
Do you have visible varicose or spider veins?
Yes
No
Have you received any prior vein treatments?
Yes
No
Is there a history of vein problems in your blood related family.
Yes
No
I'm not sure
Is there a history of blood clots in your blood related family?
Yes
No
I'm not sure
Do you have any of the following signs or symptoms?
Leg fatigue
Open sores or ulcers on the lower legs/ankles
Itching on the legs/feet
Tingling in the legs/feet
Leg heaviness
Skin discoloration in the lower legs
Swelling of the ankles
Tiredness in the legs
Leg pain (caused by prolonged standing or sitting)
(Select all that apply)
Are there any other aesthetic concerns you would like us to address in your consultation? (Select all that apply)
Wrinkles
Aging
Acne
Excess fat
No
I'm not sure
When would it be convenient for you to visit us for your consultation?
Morning
Afternoon
It doesn't matter
Upload a photo of your areas of concern. (Optional)
No file selected
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