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Peripheral Artery Disease Screening

Welcome to the Peripheral Artery Disease Screening Program. This screening is for Peripheral Artery Disease (PAD), carotid artery (large blood vessels in your neck) disease and abdominal aortic aneurysm (AAA, the large artery in your abdomen). This program will give you information on these areas, and screen you for possible problems. The screening process is very simple. A certified vascular technologist will take blood pressures in your arms and ankles for PAD screening, perform an ultrasound of your carotid arteries (neck) and abdominal aorta (stomach area) and ask you questions about your health. You may participate in any or all of these areas.

The information below, as well as the answers to the questions on the attached questionnaire will help us in this screening. The screening will determine if you are at high, moderate, low or no apparent risk for the problems that you are screened for. If the screening indicates that you have risk factors for these problems, you will be told to see your doctor for an evaluation. You will have the opportunity to have the results from this screening sent to your doctor. You will also receive a copy of your results on the day of your screening.

Pricing

Ankle-Brachial Index (ABI) Screening
Carotid Artery Screening
Abdominal Aortic Aneurysm (AAA) Screening
Each screening costs $30 or $75 for all three.
Test Results are available the same day from a vascular specialist.

Cardiovascular Risk Profile
$35 or just $25 when combined with the above screenings.

Please fill out the information below:

Basic Information

Name
Address
City
State
Zip Code
Phone
Age
Birth Date
Sex
Email

Please answer the following questions

Have you ever been screened before?
(A diagnostic test is not a screening)
If so, where?
Do you or anyone in your immediate family suffer from heart disease or PAD?
Do you know your cholesterol?
If so, please fill in:
HDL
LDL
Trigylcerides
Are you currently using cholesterol medication?
If so, what kind and for how long?
Primary Care Physician
Please send my final screening results to my Primary Care Physician?

 

Hamot will not use or disclose your personal health information for any purpose unless you have signed a form authorizing the use or disclosure. We do not sell or rent personal information about visitors or patients who use the site.

You will receive a call within two business days to schedule your screening.