MT. PROSPECT, IL

Physician Referral to Infinity Vascular Institute

Physician Referral to Infinity Vascular Institute

This form is to be filled out by physicians and health care professionals looking to refer a patient to Infinity Vascular Institute. 

All submissions are HIPAA compliant and all PHI password protected. Give us a call at (847) 916-0606 if you have any questions. Alternatively you can email us at intake@infinityvascular.com. 

Infinity Vascular Institute specializes in treatment and intervention for:

  • Peripheral Artery Disease
  • Critical Limb Ischemia
  • Limb Salvage techniques & Amputation Prevention
  • Edema
  • Venous wounds
  • Iliac vein compression
  • Deep Vein Thrombosis
  • Vascular Access
  • AV Fistulas/Grafts
  • Uterine Fibroids
  • Benign Prostatic Hyperplasia
  • & More

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