33 Sewall Street, Portland, Maine 04102 207.956.6650


When making a referral to Vascular and Interventional Physicians, the following information is needed:

  • Completed Vascular and Interventional Specialty Referral File
  • History and Physical
  • Recent office notes
  • Recent pertinent hospital records
  • Recent labs
  • Imaging - if the imaging is not within the PACS system.  Imaging can be mailed to our office at 33 Sewall Street, Portland, ME  04102 or patient can hand carry the disc.
  • Patient's insurance information including ID number, group number, provider or customer service phone number.

Questions can be directed to the Patient Scheduling Coordinators at: 

Phone:  207.956.6650
Fax:  207.956.6660

Patient Medical History and Billing Information

Patients are asked to complete the following forms prior to their first consult:

Patient Medical History Questionnaire

Venous Medical History Questionnaire (only for patients with venous insufficiency / varicose veins)

Patient Billing Information

To obtain additional information from our office, please complete the following form and someone will be in contact with you.

*Required Fields

Technology Updated

Did You Know? We treat varicose veins and spider veins? Varicose veins are swollen veins which protrude in a rope-like manner under the skin. Normal veins, by virtue of one-way valves, channel blood against gravity up the leg and back to the heart. When a valve becomes defective, it allows blood flow to leak back down the leg resulting in congestion and swelling of the vein. This is a medical condition called Venous Insufficiency.
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