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American Family Children's Hospital
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Request a consultation

Vein Center Referrals/Self-Referrals

UW Health vein specialists provide a multidisciplinary approach to diagnosing and treating venous disease, including varicose veins and spider veins.
 

Please complete the form below. A Vein Center staff member will contact you within two business days. 

 

Please do not submit urgent questions about your medical care through this website. If you are experiencing a life- or limb-threatening emergency, call 911. If your need is urgent, call your clinic for assistance.

 

Contact the Vein Center

 
* = Required field 

First Name *
 
Last Name *
 
Date of Birth *
 
Phone Number *
(Please include area code)
Home  Work  Cell
 
Best Time to Call:
(Please specify the best time of day/day of the week, etc.)
 
e-mail Address
 
 
Are you interested in being seen primarily for cosmetic reasons? 
 
Are you currently having pain in your legs?