Information Forms to Download

Patient Infor­ma­tion Pamphlets

Vari­cose Veins

Are you hav­ing your vari­cose veins stripped or are you inter­ested in hav­ing them stripped? This pam­phlet includes infor­ma­tion on how to pre­pare before and after your procedure.

Vari­cose Veins Brochure

Periph­eral Angiogram, Angio­plasty & Stents

Are you hav­ing an angiogram, angio­plasty or stent? This brochure has all of your pre and post pro­ce­dure infor­ma­tion about your pro­ce­dure and what to expect. Please click below to view and down­load the brochure for your procedure.

Angiogram, Angio­plasty & Stent Brochure

Doppler Exer­cise Tests

Not sure what an Ankle Brachial Index (ABI) or doppler test is? The below infor­ma­tion pam­phlet has all patient infor­ma­tion for an ABI or Doppler test.

Doppler and Blood Flow tests

Com­pres­sion Stockings

Have you been rec­om­mended to wear com­pres­sion stock­ings and are not sure what you need? The below brochure has infor­ma­tion on the use and main­tainence of com­pres­sion gar­ments for all types of vas­cu­lar conditions.

Com­pres­sion Stock­ings Brochure

Hyper­hidro­sis: Iontophoresis

Do you suf­fer from exces­sive sweat­ing? Our Ion­tophore­sis brochure has infor­ma­tion about treat­ments for hyper­hidro­sis, par­tic­u­larly Iontophoresis.

Ion­tophore­sis Infor­ma­tion Brochure

Clin­i­cal Information

Next Appoint­ment Form

This form allows you to wite down your next appoint­ment date and time with the address listed underneath.

Down­load Appoint­ment slip (PDF)

Patient Sur­vey

If you would like to pro­vide some feed­back for Dr Sie­u­nar­ine please fill in the patient sur­vey and bring it to your next appoint­ment or post it to the Ned­lands office.

Patient Feed­back Sur­vey (PDF)