FREE SCREENING - Vein Consultations and Cosmetic - Dayton Ohio

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  • Midwest Vein & Laser is dedicated to providing our patients with the best possible care and personal attention. We consult with every potential patient individually, at no charge, so we can tailor treatment to their specific needs.
  • In-person consultations are done at our Dayton, Ohio office location. Please use the form below to request a time that is convenient for you.
  • We also can answer you questions by email. Please submit your question on the adjacent form
  • Patients can alternatively call our offices directly at:
    800-515-4295 or 937-281-0200
  • These are fill-able forms below (you can type in the information). The Firefox browser does not always work with fill-able PDF's. Please try Chrome, or Internet Explorer. If you're on a MAC, Safari should also work.
  • Download Patient Form HERE
  • Download My Facial Consult Form HERE

UPLOAD COMPLETED FORM HERE

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