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Cardiovascular physiology / Medical ultrasound / Claudication / Physical examination / Medicine / Ankle brachial pressure index


National Vascular Service Request Form (N.B. Choose and Book referrals accompanied by incomplete forms may be rejected) ALARM CONDITIONS: Patient with any of these symptoms should be referred immediately. You should not
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Facility

Carotid Duplex / /

MedicalCondition

arterial disease / TIA/ Stroke / hypertension / Intermittent claudication / infection / Blood Clots / diabetes / peripheral vascular disease / leg ulcer / Book Deep Vein Thrombosis / /

Organization

NHS / /

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