Approximately 50% of women and 25% of men have a problem with leg veins. The Cosmetic Vein & Laser Center has been treating vein problems for over 20 years, utilizing the newest technology for non-invasive vein treatments. Please complete the form below to take the next step in finding the lasting solution for your vein treatment.
Have you ever been diagnosed with varicose veins? {{ Cognito.resources["required-asterisk"] }}, { binding firstError.message }
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Have you had treatment for varicose veins? {{ Cognito.resources["required-asterisk"] }}, { binding firstError.message }
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Do you have a family history of varicose veins/venous reflux? {{ Cognito.resources["required-asterisk"] }}, { binding firstError.message }
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Do you have ankle swelling with prolonged standing/sitting or air travel? {{ Cognito.resources["required-asterisk"] }}, { binding firstError.message }
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During pregnancy, did you have leg swelling or bulging leg veins? {{ Cognito.resources["required-asterisk"] }}, { binding firstError.message }
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Someone in our office will contact you regarding your vein assessment.
Full Name {{ Cognito.resources["required-asterisk"] }}, { binding firstError.message }
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Phone Number {{ Cognito.resources["required-asterisk"] }}, { binding firstError.message }