New Patient

General Questions

Online at www.tepasvein.com/appointment, by referral from your primary physician, or call our office at 321-312-4188

Please bring a photo ID, Insurance card, and any list of medications you are taking. Also, any forms or test results you have been provided, such as x-rays would be helpful.

Our registration staff will ask you to fill out a health history form. These questions are the initial part of the examination and provide us with essential information about you and your medical history. All information given to us is confidential. Please arrive 20 minutes early to complete the paperwork. You will have a consultation with our experienced vein specialists. If needed, they may take photographs of your legs, order compression garments, testing and in-office treatments. This usually takes about one hour. 

Office consultations and visits, diagnostic testing (ultrasound), and any procedures are usually covered by most insurance plans*. Insurance plans often have a copay, co-insurance, or deductibles you would be responsible for at the time of check-in. 

If you are self-pay, we can provide notice in advance of your appointment for your payment responsibility.  

If you are insured by an HMO, managed care plan, or in some PPOs, your health plan may require a referral from your primary care physician before scheduling with our vein specialist. If you submit a copy of your insurance card and driver’s license, our verification department can assist in obtaining pre-authorization.

Traditional Medicare and self-pay patients do not require insurance approval.

Obtaining a referral also allows our office to have a direct line of communication with your primary physician. This provides us with your comprehensive health records and continuity of care with your primary care physician.

 

Office

Other Questions

Our office is open from 8:00 AM to 5:00 PM Monday through Thursday. On Friday our office is open until 1:00 PM. We are closed on Saturday and Sunday. 

We ask that you call our office at 321-312-4188 during regular office hours to reschedule your appointment.

Out of courtesy to other patients and our vein specialist, appointment cancellations require a 2 business-day notification.

There will be a $50 LATE CANCELLATION or NO-SHOW appointment fee.

Our office is located in the Nasa Palms Professional Center at 1140 Broadband Drive in Melbourne Florida. We are 1 mile west of the Melbourne-Orlando Int’l Airport at the intersection of NASA Blvd. and Broadband Rd. All of the buildings in our complex have stripes on the building, ours is the green one. Please enter through the East side of the building into Unit G1.

Health

Happy to Answer All Your Vein Health Questions

Varicose veins are common, but not normal. They range from mild spider veins to more serious bulging, twisted, enlarged veins that are close the the skin’s surface. 

Varicose Veins often cause leg pain and swelling, and if left untreated can lead to more serious issues like venous ulcers or open wounds, sores, or blood clots. 

The valves in your leg veins help pump the blood back to the heart. To return blood back to the heart, the blood must flow against gravity. This pressure causes the veins to enlarge. When the tiny valves within the veins become weak, the valves do not close properly and the blood flows backward, pooling in the legs and feet veins. This pressure causes the veins to stretch, twist, and bulge. 

Several risk factors for varicose veins include excessive weight, lack of exercise, smoking, age, family history, blood clots, leg infections, leg injuries or broken bones, leg or foot surgery, or a job that requires extended sitting or standing during the day. Varicose veins are known to affect more women than men due to the use of hormonal birth control and pregnancy. 

Spider veins appear as thin, red, web-like blood vessels near the surface of the skin. These spider veins are considered a milder form of varicose veins. 

Spider veins are a sign of an underlying problem with the deeper veins and leaky valves. 

Spider veins generally appear on the legs and feet and may not cause pain or swelling. It is important to note that spider veins do not always turn out to be varicose veins. The treatment of spider veins involves a medical consultation. Some treatments, such as lasers, may be considered cosmetic. 

Varicose veins often cause pain, achiness, itching, throbbing, heaviness, bleeding, skin discoloration, restless legs, and leg swelling.

The veins are often dark purple or blue in color or appear twisted and enlarged.

Worsening pain after extended sitting or standing, or burning, throbbing, and cramping, in the legs are also symptoms of having varicose veins.

After consultation with our vein specialists, an ultrasound of your legs (venous reflux ultrasound) is the best way to look for problems with the valves in the veins. 

This painless scan, or sonogram, done by our registered vascular specialist, utilizes gentle sound waves to image your veins and measure blood flow.  Your provider will then review the results with you and make an individualized treatment plan.

Venous insufficiency also known as venous reflux is a medical condition in which veins in the body (most often in the legs) are not able to pump blood back to the heart and lungs. This causes blood to pool in the blood vessels so that they become enlarged (varicose) or dilated over time. 

Chronic venous hypertension (HTN) is a high pressure in the veins of the legs caused by venous insufficiency where the blood leaks downward due to the weak and leaky one-way valves in the veins. Symptoms of venous HTN are pain in the legs, tenderness, swelling, discoloration, and skin ulcers in the legs and feet.

Compression stockings are often the first treatment for varicose veins and many have found they reduce pain and achiness.

Since the leaky valves are too small to repair, we have to seal, or close, the bad vein so blood can be safely re-routed through normal deeper leg veins. We do this utilizing the latest technology to seal the veins with ClosureFast™, Varithena®, or VenaSeal®, all in-office procedures. 

Treatment can be done in the doctor’s office, without the need for general anesthesia, and with no scaring or cutting. The procedure has a quick recovery time and most are back to work the next day while avoiding heavy lifting for two days. 

Compression stockings gently squeeze your legs, assisting the veins and leg muscles to move blood from your feet back to your heart. The pressure from the stockings helps the valves inside the vein work better, minimizing pooling and backward flow. 

The stockings only need to be worn during the day, not at night.

No! We prescribe medical-grade compression stockings after measuring your legs.  

Compression stockings come in a variety of compression strengths. They also come with either open or closed toe, and in different lengths, such as thigh-high or knee-high.  and compression strengths. 

Maintain a healthy weight, elevate your legs, avoid prolonged sitting or standing, and use medical-grade compression stockings. 

Varicose veins can never get better on their own. Because of gravity, the varicose veins get worse over time and can lead to worsening symptoms including blood clots and non-healing leg wounds. The best options are prevention, early diagnosis, and treatment. 

FAQs