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To learn more about the EVLT laser treatment procedure for varicose veins or treatments for spider veins in Chattanooga, TN, use this form to contact Advanced Surgical Concepts or call (423) 665-4006. If you submit the form, you will be contacted shortly.

Note: * denotes a required field

Name*
Address
City
State
Zip
Phone*
E-Mail*
 
Check any medical symptoms you are currently experiencing with your legs
(check all that apply):
Varicose (bulging) veins
Spider veins
Pain or tenderness
Swelling
Changes in skin color
Open wounds (leg ulcers)
 
Are you experiencing the above symptoms in one or two legs?
One leg
Two legs
 
Have you worn compression stockings to address the above issues
Yes
No
If yes, how long? months
 
Additional Comments
(e.g. best time or way to reach you)
 

For more information, call (423) 665-4006.
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