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info.docveinmgmt@daytondoc.com (937) 424-2217

DOC Vein Management

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Senior Expo Form

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Name *

First

Last

Phone Number *

Email *

Have you ever had spider veins? *

Yes
No

Have you ever had varicose veins? *

Yes
No

Have you been treated for vein issues before? *

Yes
No

Do you experience pain with prolonged activities? *

Yes
No

Do you have any of the following: pain, heaviness, swelling or fatigue? *

Yes
No

Do you have restless legs? *

Yes
No

Have you worn compression garments? *

Yes
No

Website

Vein symptoms are not always cosmetic. In many cases, vein treatment may be medically necessary and may be covered by insurance, including Medicare, depending on your symptoms and evaluation.

ABOUT US

DOC Vein Management focuses are restoring mobility and quality of life to our patients by offering state-of-the-art vein procedures that focus on the Superficial Veins, often the underlying cause of painful varicose veins, and other serious Vein disease.

DID YOU KNOW?

If left untreated venous insufficiency can lead to a multitude of serious health problems, including variceal bleeding, venous ulcers and blood clots, also known as deep venous thrombosis.

Contact Info

1010 Woodman Dr.
Dayton, OH 45432

Mon-Fri: 8am – 4:30pm
P: 937-424-2217
F: 937-424-2486
E: info.docveinmgmt@daytondoc.com
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