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Vein test

  1. Age:
  2. Sex:
  3. City:
  4. Status:
  5. Family status:
  6. E-mail:
  7. Do you weigh more than you would like to?
  8. Have you had deliveries?
  9. Do you take hormonal drugs?
  10. Is your work related to strained position (when seated, standing, etc.)?
  11. Do you do sport in your spare time?
  12. Have your parents had varicose vein diseases?
  13. Do your ankles swell?
  14. Do you have a feeling of heaviness in your legs?
  15. Do you have night cramps in your legs?
  16. Are there enlarged veins, venous nodules on your legs?

Contacts

Riga, Kr. Barona street 115
Phone: +371 67 847 200
Phone: +371 67 847 100
E-mail: venuklinika@vc4.lv

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