Self-Assessment
This self-assessment survey is intended to help better understand your symptoms and risk factors for venous disease. Once you submit a completed survey, a member of our staff will contact you within 1-2 business days to schedule a free consultation appointment with a the core institute network physician.
History
Signs And Symptoms
Risk Factor
Leg Photos (Optional)
To help The CORE Institute’s Vein Health Center staff to better serve you, we are requesting that a photo of your legs be uploaded and submitted with your self-assessment survey. Please provide a full front photo and a full back photo of each leg (2 photos per leg) in natural light with your smart phone, tablet, or quality digital camera. Easily submit the photos using the upload tool.
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