Referral Vein Worksheet - for Providers
Referring Providers may use this convenient referral worksheet with checkboxes for signs and symptoms, assessment (ICD 10 codes), recommendation/plan, and any notes.
Simply fill out and email or fax to Alsara Vein Clinic.
Missed Appointment/Cancellation Policy
When you schedule an appointment with us, we block off time specifically for you. If for any reason, you are unable to keep your scheduled appointment time, we ask that you please inform us as soon as possible. We are then able to offer that time to another patient. Please know that if you need to cancel within 24 hours of your appointment, you WILL BE CHARGED A $50 CANCELLATION FEE.