Do you wear pants or skirts to cover your bulging or discolored veins?
Yes
No
Is sleep interrupted by restless legs or discomfort?
Yes
No
Have you experienced itching or burning?
Yes
No
Have your feet become too swollen to put on your shoes or boots comfortably?
Yes
No
Do you avoid activities that require standing for a long period of time?
Yes
No
Tell us a little more about yourself and we can help find the best treatment option for you!
Full Name
Phone
*
Email
*
Captcha