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Do I Have A Venous Disease?
Use the test below to determine whether or not you may have venous disease. Use the following scale to choose the most appropriate number for each situation.
0 = NEVER | 1 = OCCASIONALLY | 2 = FREQUENTLY | 3 = DAILY
Patient Forms
New Patients or patients with a change of information: You may download the registration form and bring it with you to your visit. If you cannot view the PDF, you can download Acrobat Reader free from Adobe Systems, Inc.
Bring To Our Appointment:
- Your Insurance Card
- A list of Current Mediactation Including Dose and Frequency
- Pertinent Ingormation About Your Medical & Surgical History
We accept Blue Cross, Blue Shield of Alabama, Medicare, United Healthcare and most major insurance plans. However, it is in your best interest to check your insurance provider’s list of participating physicians to be sure your plan allows you to be seen at our office. Also, please review with your insurance customer service representative (or insurance provider) the rules and limitations on coverage and reimbursement.
Patient Forms
New Patients or patients with a change of information: You may download the registration form and bring it with you to your visit. If you cannot view the PDF, you can download Acrobat Reader free from Adobe Systems, Inc.
Bring To Our Appointment:
- Your Insurance Card
- A list of Current Mediactation Including Dose and Frequency
- Pertinent Ingormation About Your Medical & Surgical History
We accept Blue Cross, Blue Shield of Alabama, Medicare, United Healthcare and most major insurance plans. However, it is in your best interest to check your insurance provider’s list of participating physicians to be sure your plan allows you to be seen at our office. Also, please review with your insurance customer service representative (or insurance provider) the rules and limitations on coverage and reimbursement.



GIVE US A CALL
205-592-1800
HOMEWOOD
2704 20th Street South
Suite 100
Birmingham, AL 35209
Fax: 334-647-1811
MONTGOMERY
8326 Crossland Loop
Montgomery, AL 36117
Phone: 334-647-1811
Fax: 205-592-1752
HUNTSVILLE
2010 Southpoint Park Circle
Suite 160
Huntsville, AL 35801
Phone: 256-715-7151
Fax: 256-715-7196
AUBURN
1935 E Glenn Avenue
Suite 200
Auburn, AL 36830
Phone: 334-647-1811
Fax: 205-592-1752
Ridgeland
204 West Jackson Street
Suite A
Ridgeland, MS 39157
Phone: 601-291-5291
Fax: 601-707-5535
GIVE US A CALL
205-592-1800
HOMEWOOD
2704 20th Street South
Suite 100
Birmingham, AL 35209
GIVE US A CALL
334-647-1811
MONTGOMERY
8326 Crossland Loop
Montgomery, AL 36117
Phone: 334-647-1811
AUBURN
1935 E Glenn Avenue
Suite 200
Auburn, AL 36830
Phone: 334-647-1811
HUNTSVILLE
2010 Southpoint Park Circle
Suite 160
Huntsville, AL 35801
Phone: 256-715-7151
RIDGELAND
204 West Jackson Street
Suite A
Ridgeland, MS 39157
Phone: 601-291-5291