Physician Referral Forms


Refer a Patient to Arteries & Veins

We appreciate all referrals to Arteries & Veins Clinics. If you have a patient who would benefit from a vein evaluation and consultation, please complete our referral form and fax it to (915) 351-4001.

  • Send order & referral with patient or fax to: (915) 351-4001.
  • Email us at info@arteriesveins.com to receive referral forms.

Make an Appointment

Free Initial Vein Screening

We are pleased to offer Free Vein Screenings to help start examining if varicose veins and spider veins can be causing your leg pain, aching, heaviness, or swelling. Make an appointment today!


Date of Birth (required for patient record look up)

Clinic Location (pick a location for your appointment)