NAME OF PRACTICE

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Please complete the form below and we will contact you as soon as possible. Alternatively, you may call us at the phone number further below.

Leg Symptoms (check all that apply):
Síntomas de la pierna (compruebe todo el que apliqúese):

Are the symptoms above experienced in one or two legs?
¿Son los síntomas encima de experimentado en algunas piernas?

Are you currently (or have you previously) worn compression stockings to treat the above symptoms?
¿Que usted medias que llevadas de compresión para tratar estos síntomas?

months (meses)


Phone: 402-415-0050

Vein Center
17001 Lakeside Hills Plaza, Ste 102
Omaha, NE 68130

Contact us
phone number
402-415-0050

Board certification in phlebology Insurance accepted

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