CONTACT

Scheduling A Consultation

During the consultation, the physician will review your personal and family health history; examine your abnormal veins (utilizing Duplex Ultrasound), and develop an individualized diagnosis and treatment plan.

For your convenience you may bring a pair of shorts, a list of medications, your insurance card and a list of questions for the physician for your visit.

Schedule your consultation by calling (419) 422-5905 or (866) 472-4472. You may also submit your request below. (Form is still Under Construction, however you can submit for now an email with the following information to jbrake@yourveincarecenter.com)

Patient Name:
Contact Address:

City/State/Zipcode:

Daytime Phone:
Evening Phone:
Email:
Consulation Regarding:

 

Billing
For billing inquiries, please contact our office at: (419) 422-5905 or (866) 472-4472
Other

For all other correspondence, contact our office:

Jill Brake
Office Manager
525 Eastown Rd.
Lima, OH 45807

PH: (419) 422-5905/(866) 472-4472
FX: (419) 229-9233
jbrake@yourveincarecenter.com