Mesa | Prescott | Sun City
+1 (888) 553-VEIN

PATIENT FORMS

We ask all new patients to complete these forms before the first appointment. Please download, print, and bring the completed forms with you—or you can arrive 20 minutes early to your appointment and complete the forms in our office.

AM I A CANDIDATE?

Can Pinnacle Vein and Vascular Center help you to reach peak health?
Yes!—especially if you answer yes to any of these questions:

1
Has a doctor diagnosed you with varicose veins, venous reflux, or venous insufficiency?
2
Do you have visible varicose or spider veins?
3
Do you have medical concerns including carotid artery disease, aortic aneurysm, peripheral arterial disease, or kidney failure?
4
Do you have any of these circulatory symptoms?

CIRCULATORY SYMPTOMS

Is a relatively frequent symptom in most people. In itself it does not represent a disease but rather the symptom of an underlying disease.
Swelling
Tired Legs

Legs that feel weighted, stiff, and tired — as if the legs are hard to lift and move forward. It might almost feel as if you’re dragging around a 5-pound weight.

Itching is an intense, distracting irritation or tickling sensation that may be felt all over the skin’s surface, or confined to just one area

Itchy Legs
Discolored Skin

While a poor skin condition could be due to many reasons, a poor blood circulation is definitely going to show up as poor skin condition.

Tired, heavy legs, spider veins, and tingling calves indicate that it’s high time to take action: aedema (slight swelling of the lower legs) may take place.

Painfuil or Heavy
Restless Legs

Uncomfortable (creeping, tingling, twitching, aching, throbbing, prickling,) sensation in the calves that occurs while sitting or while lying down.

A prickly sensation in the skin or a body part, accompanied by diminished sensitivity to stimulation of the sensory nerves.

Tingling
Numbness

A loss of the sensation of feeling in an area of the body.

Pinnacle Vein and Vascular Center can help if you answered “yes” to any of the questions above click on the button below to request your appointment today with one of our Board Certified Providers.

SCHEDULE AN APPOINTMENT

It’s easy to schedule an appointment at Pinnacle Vein and Vascular Center.

Simply complete the form below, and our scheduling coordinator will call you to set an appointment your convenience. Or, call us at 1.888.553.VEIN(8346)

*We protect your personal information and will not share it with others.
Insurances Accepted
Pinnacle Vein and Vascular Center accepts most major health care plans.
Please call us at 888.553.VEIN to verify your insurance coverage. In most cases we are also able to estimate any out-of-pocket cost.
Please call us at 888.553.VEIN to verify your insurance coverage.
Your 1st Visit
 During your first appointment, we’ll review your new patient forms and conduct a thorough exam to diagnose vein and vascular problems and health concerns.
 Our health care providers will craft an individualized treatment plan that addresses your current needs and future lifestyle goals, and will recommend the most appropriate and effective procedures.
We are dedicated to providing the best medical care possible, with minimal recovery times that let you get back to normal activities as quickly as possible.
 At Pinnacle Vein and Vascular Center, we view ourselves as partners on your health care journey—caring for immediate needs while taking a big-picture approach to help you reach your health and cosmetic goals.
Have questions? Check our list of frequently asked questions.  You may find your answer there. If not, please contact us at +1(888) 553-VEIN.

FREQUENTLY ASKED QUESTIONS

Varicose veins are enlarged, ropy veins, usually dark purple or blue in color, and most commonly appearing in the legs and feet. They gradually develop valves in the vein weaken from age or pregnancy, and blood that should be moving toward the heart flows backward and pools in the vein.

For some people, varicose veins are a cosmetic concern—while for others, they may cause pain, discomfort, throbbing or itching, and can indicate the risk of other vascular problems.

Treatment for varicose veins can involve some basic self-care practices, as well as minimally invasive therapies to collapse or remove the problematic vein and restore healthy blood flow.

Providers at Pinnacle Vein and Vascular Center provide careful pain management, and patients are often able to resume normal activities the same day or within several days, depending on the treatment.

Venuous disease, also known as venous insufficiency, is a condition in which the valves in the vein weaken, and allow blood that should be moving toward the heart to flow backward and pool in the vein, often in the legs or feet.

Spider veins are a common and less severe version of varicose veins—usually smaller and closer to the surface of the skin.

Spider veins—a common and less severe version of varicose veins—can be caused:

-When vein valves malfunction and blood pools in the vein

-By hormonal changes

-By sun exposure

-By pregnancy

Treatment for spider veins can involve some basic self-care practices, as well as minimally invasive therapies to collapse or remove the problematic vein and restore healthy blood flow.

Providers at Pinnacle Vein and Vascular Center provide careful pain management, and patients are often able to resume normal activities the same day or within several days, depending on the treatment.

Call 888.553.VEIN