At What Stage are Your Varicose Veins In?
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Determining the type of varicose veins you have is a parmount factor in selecting the correct type of treatment.
To assist the doctor at Crown Medical. Please complete the following Varicose Vein Chart. Our goal is to provide you with the best quality assessment. When complete click the submit button below.
First Name:
Last Name:
Phone:
Email:
Date of Birth:
Grade 5
Grade 4
Grade 3
Grade 2
Grade 1
Grade 10
Grade 9
Grade 8
Grade 7
Grade 6
Grade 15
Grade 14
Grade 13
Grade 12
Grade 11
Grade 20
Grade 19
Grade 18
Grade 17
Grade 16
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Verification & Submit
Directions: Compare you varicose veins to the ones shown on the photos below. Check off the corresponding photos of the type(s) you have. Remember, you could have different types of viens
Crown Medical
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To download complete self-assessment package click here
