Contact Form 7
Are You at Risk for Peripheral Arterial Disease?
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Are you over the age of 50? YesNo
Do you have a history of diabetes and/or smoking? YesNo
Do you experience any pain in your legs or feet while at rest? YesNo
Do you have pain, cramping or fatigue in your buttocks, legs and/or feet when walking? YesNo
If yes to question 4, does the pain go away when you stop walking or exercising? YesNo
Do you have a history of heart attack or stroke? YesNo
Do you have a history of slow-healing skin wounds or ulcers on your feet? YesNo
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Your Results Indicate That You Might Have PAD.
Please Give Us Call Us at (949)-207-3987 or "Click Here" to request an appointment.
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Are You at Risk for Chronic Venous Insufficiency Disease?
Do you experience heaviness, aching or cramping in your legs? YesNo
Do you experience any itching or tingling in your legs? YesNo
Do you experience leg pain while standing? YesNo
Do you have varicose veins on your legs (bulging or large clusters of visible veins)? YesNo
Are your legs, feet or ankles swollen, red and/or warm to touch? YesNo
Do you have a history of slow-healing skin wounds or ulcers on your legs? YesNo
Does the skin on your legs feel hard and leather-like? YesNo
Your Results Indicate That You Might Have CVI.