{"id":18104,"date":"2023-07-20T12:20:50","date_gmt":"2023-07-20T16:20:50","guid":{"rendered":"https:\/\/medicart.com\/?page_id=18104"},"modified":"2024-06-05T09:36:08","modified_gmt":"2024-06-05T13:36:08","slug":"document-library","status":"publish","type":"page","link":"https:\/\/medicart.com\/en\/document-library\/","title":{"rendered":"Documents &#8211; Medicart Ottawa"},"content":{"rendered":"<div class=\"wysiwyg-container\"><p>Following the email you received from our team, please review the documents applicable to your situation among the following 3 options.<\/p>\n<h3><strong>1. First consultation &#8211; Varicose and Spider Veins (new patients)<\/strong><\/h3>\n<p>We invite you to read the brochure and review the consent form before your consultation appointment.<\/p>\n<ol>\n<li>Read the <strong><a href=\"https:\/\/medicart.com\/wp-content\/uploads\/2023\/07\/Attention_Brochure_ang_1.pdf\" target=\"_blank\" rel=\"noopener\">brochure<\/a><\/strong><\/li>\n<li>Review the <a href=\"https:\/\/medicart.com\/wp-content\/uploads\/2023\/07\/ConsentFormVaricoseVein_ang_fr.pdf\" target=\"_blank\" rel=\"noopener\"><strong>consent form<\/strong><\/a>\u00a0(signature required in person at your appointment)<\/li>\n<li>Complete the form in the information sheet section at the bottom of the page<\/li>\n<li>Watch the video at the bottom of the page<\/li>\n<\/ol>\n<h3><strong>2. Follow-up appointments <\/strong><strong>&#8211; Varicose and Spider Veins <\/strong><strong>(more than 6 months since last appointment)<\/strong><\/h3>\n<p>We invite you to read the brochure and review the consent form before your follow-up appointment.<\/p>\n<ol>\n<li>Read the <strong><a href=\"https:\/\/medicart.com\/wp-content\/uploads\/2023\/07\/Attention_Brochure_ang_1.pdf\" target=\"_blank\" rel=\"noopener\">brochure<\/a><\/strong><\/li>\n<li>Review the <a href=\"https:\/\/medicart.com\/wp-content\/uploads\/2023\/07\/ConsentFormVaricoseVein_ang_fr.pdf\" target=\"_blank\" rel=\"noopener\"><strong>consent form<\/strong><\/a>\u00a0(signature required in person at your appointment)<\/li>\n<\/ol>\n<h3><strong>3. Ultrasound-guided sclerotherapy treatment appointment<\/strong><\/h3>\n<p>We invite you to read the brochure and review the consent form before your appointment.<\/p>\n<ol>\n<li>Read the <strong><a href=\"https:\/\/medicart.com\/wp-content\/uploads\/2023\/07\/Ultrasound_Sheet.pdf\" target=\"_blank\" rel=\"noopener\">brochure<\/a><\/strong><\/li>\n<li>Review the <strong><a href=\"https:\/\/medicart.com\/wp-content\/uploads\/2023\/07\/ConsentForm.pdf\" target=\"_blank\" rel=\"noopener\">consent form<\/a><\/strong>\u00a0(signature required in person at your appointment)<\/li>\n<\/ol>\n<h2>Information Sheet<\/h2>\n<p>The information sheet is required for new patients.<\/p>\n<div class=\"cf7sg-container cf7sg-not-grid\"><div id=\"cf7sg-form-information-form\" class=\" key_information-form\">\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f18166-o1\" lang=\"en-US\" dir=\"ltr\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/18104#wpcf7-f18166-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<div style=\"display: none;\">\n<input type=\"hidden\" name=\"_wpcf7\" value=\"18166\" \/>\n<input type=\"hidden\" name=\"_wpcf7_version\" value=\"5.8.7\" \/>\n<input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/>\n<input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f18166-o1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/>\n<input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<input type=\"hidden\" name=\"_wpcf7_key\" value=\"information-form\" \/>\n<input type=\"hidden\" name=\"_cf7sg_toggles\" value=\"\" \/>\n<input type=\"hidden\" name=\"_cf7sg_version\" value=\"4.15.7\" \/>\n<input type=\"hidden\" name=\"_wpnonce\" value=\"f855476cf1\" \/>\n<input type=\"hidden\" name=\"_wpcf7_recaptcha_response\" value=\"\" \/>\n<\/div>\n\n<p><label> Name: <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Name\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Name\" \/><\/span>\n<\/p>\n<p><label> Date of birth <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Date-of-birth\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Date-of-birth\" \/><\/span>\n<\/p>\n<p><label> 1. Reason for consultation <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Reason-for-consultation\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Reason-for-consultation[]\" value=\"Pain\" \/><span class=\"wpcf7-list-item-label\">Pain<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Reason-for-consultation[]\" value=\"Cosmetic\" \/><span class=\"wpcf7-list-item-label\">Cosmetic<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Reason-for-consultation[]\" value=\"Prevention\" \/><span class=\"wpcf7-list-item-label\">Prevention<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Reason-for-consultation[]\" value=\"Heaviness\" \/><span class=\"wpcf7-list-item-label\">Heaviness<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Reason-for-consultation[]\" value=\"Burning\" \/><span class=\"wpcf7-list-item-label\">Burning<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Reason-for-consultation[]\" value=\"Fatigue\" \/><span class=\"wpcf7-list-item-label\">Fatigue<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> 2. a) Anyone in your family with :<br \/>\nVaricose veins <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Anyone-in-your-family-with-varicose-veins\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Anyone-in-your-family-with-varicose-veins[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Anyone-in-your-family-with-varicose-veins[]\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span> If yes - Who? <span class=\"wpcf7-form-control-wrap\" data-name=\"who\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" autocomplete=\"who\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"who\" \/><\/span><br \/>\n<label> Phlebitis (blood clot) <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Phlebitis\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Phlebitis[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Phlebitis[]\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span> If yes - Who? <span class=\"wpcf7-form-control-wrap\" data-name=\"who\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" autocomplete=\"who\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"who\" \/><\/span><br \/>\n<label> Pulmonary embolism <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Pulmonary-embolism\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Pulmonary-embolism[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Pulmonary-embolism[]\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span> If yes - Who? <span class=\"wpcf7-form-control-wrap\" data-name=\"who\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" autocomplete=\"who\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"who\" \/><\/span><br \/>\n<label> b) Family history of clotting disorders (i.e.) Protein C, S, Factor V of (Leiden), antithrombine 3 <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Family-history-of-clotting-disorders-Protein-C-S-Factor-V-of-Leiden-antithrombine-3\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Family-history-of-clotting-disorders-Protein-C-S-Factor-V-of-Leiden-antithrombine-3\" \/><\/span>\n<\/p>\n<p><label> 3. Age that you first noticed you had varicose\/spider veins? <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Age-that-you-first-noticed-you-had-varicose-spider-veins\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Age-that-you-first-noticed-you-had-varicose-spider-veins\" \/><\/span>\n<\/p>\n<p><label> 4. Number of pregnancies? <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Number-of-pregnancies\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Number-of-pregnancies\" \/><\/span><br \/>\n<label> Number of deliveries? <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Number-of-deliveries\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Number-of-deliveries\" \/><\/span><br \/>\n<label> Are you pregnant? <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Are-you-pregnant\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Are-you-pregnant[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Are-you-pregnant[]\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span><br \/>\n<label> Are you breastfeeding? <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Are-you-breastfeeding\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Are-you-breastfeeding[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Are-you-breastfeeding[]\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> 5. Any injuries to your leg (s)? (i.e. fracture): <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"Any-injuries-to-your-leg\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Any-injuries-to-your-leg\" \/><\/span><br \/>\n<label> If so, which part of leg injured? <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"Which-part-of-leg-injured\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Which-part-of-leg-injured\" \/><\/span><br \/>\n<label> When? <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"When\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"When\" \/><\/span>\n<\/p>\n<p><label> 6. a) Ever have Phlebitis?(Blood clot in a vein): <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Ever-have-Phlebitis\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Ever-have-Phlebitis[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Ever-have-Phlebitis[]\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span><br \/>\n<label> b) Were you given medication (ex: Blood thinner) <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Were-you-given-medication\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Were-you-given-medication[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Were-you-given-medication[]\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span><br \/>\n<label> c) How long on medication? <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"How-long-on-medication\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"How-long-on-medication\" \/><\/span>\n<\/p>\n<p><label> 7. Occupation <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Occupation\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Occupation\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Standing-Seated\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Standing-Seated[]\" value=\"Standing\" \/><span class=\"wpcf7-list-item-label\">Standing<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Standing-Seated[]\" value=\"Seated\" \/><span class=\"wpcf7-list-item-label\">Seated<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> 8. Do you have: <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Do-you-have\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"Do-you-have[]\" value=\"Respiratory problems \/ When ?\" \/><span class=\"wpcf7-list-item-label\">Respiratory problems \/ When ?<\/span><\/label><\/span><\/span><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"When\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"When\" \/><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"Do-you-have\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Do-you-have[]\" value=\"Hay Fever\" \/><span class=\"wpcf7-list-item-label\">Hay Fever<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Do-you-have[]\" value=\"Eczema\" \/><span class=\"wpcf7-list-item-label\">Eczema<\/span><\/label><\/span><\/span><\/span><br \/>\n<label> Do you have allergies to: <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Do-you-have-allergies-to\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Do-you-have-allergies-to[]\" value=\"Tapes\" \/><span class=\"wpcf7-list-item-label\">Tapes<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Do-you-have-allergies-to[]\" value=\"Bandaids\" \/><span class=\"wpcf7-list-item-label\">Bandaids<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Do-you-have-allergies-to[]\" value=\"Aspirin\" \/><span class=\"wpcf7-list-item-label\">Aspirin<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Do-you-have-allergies-to[]\" value=\"Xylocaine (freeze teeth)\" \/><span class=\"wpcf7-list-item-label\">Xylocaine (freeze teeth)<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Do-you-have-allergies-to[]\" value=\"Iodine\" \/><span class=\"wpcf7-list-item-label\">Iodine<\/span><\/label><\/span><\/span><\/span><br \/>\n<label> Do you have allergies to any other medications, any foods, or anything else (list): <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Do-you-have-allergies-to-any-other-medications-any-foods-or-anything-else\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Do-you-have-allergies-to-any-other-medications-any-foods-or-anything-else\" \/><\/span>\n<\/p>\n<p><label> 9. Surgeries? (List all with date) <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Surgeries\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Surgeries\" \/><\/span>\n<\/p>\n<p><label> 10. Illnesses? <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Illnesses\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Illnesses[]\" value=\"Tuberculosis\" \/><span class=\"wpcf7-list-item-label\">Tuberculosis<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Illnesses[]\" value=\"Heart Problems\" \/><span class=\"wpcf7-list-item-label\">Heart Problems<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Illnesses[]\" value=\"Diabetes\" \/><span class=\"wpcf7-list-item-label\">Diabetes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Illnesses[]\" value=\"Migraine \/ When?\" \/><span class=\"wpcf7-list-item-label\">Migraine \/ When?<\/span><\/label><\/span><\/span><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"when\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" autocomplete=\"when\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"when\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Illnesses\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Illnesses[]\" value=\"High Blood Pressure\" \/><span class=\"wpcf7-list-item-label\">High Blood Pressure<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Illnesses[]\" value=\"Hepatitis\" \/><span class=\"wpcf7-list-item-label\">Hepatitis<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Illnesses[]\" value=\"AIDS\" \/><span class=\"wpcf7-list-item-label\">AIDS<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Illnesses[]\" value=\"Cancer\" \/><span class=\"wpcf7-list-item-label\">Cancer<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Illnesses[]\" value=\"Thyroid\" \/><span class=\"wpcf7-list-item-label\">Thyroid<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Illnesses[]\" value=\"Cancer\" \/><span class=\"wpcf7-list-item-label\">Cancer<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Illnesses[]\" value=\"Arterial Problems\" \/><span class=\"wpcf7-list-item-label\">Arterial Problems<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> 11. List all medications presently being taken <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"List-all-medications-presently-being-taken\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"List-all-medications-presently-being-taken\" \/><\/span>\n<\/p>\n<p><label> 12. Any previous treatments for varicose and spider veins? <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Any-previous-treatments-for-varicose-and-spider-veins\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Any-previous-treatments-for-varicose-and-spider-veins[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Any-previous-treatments-for-varicose-and-spider-veins[]\" value=\"No \/ When?\" \/><span class=\"wpcf7-list-item-label\">No \/ When?<\/span><\/label><\/span><\/span><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"when\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" autocomplete=\"when\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"when\" \/><\/span> with whom? <span class=\"wpcf7-form-control-wrap\" data-name=\"whom\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" autocomplete=\"whom\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"whom\" \/><\/span><br \/>\n<label> Do you faint with needles? <\/label><span class=\"wpcf7-form-control-wrap\" data-name=\"Do-you-faint-with-needles\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Do-you-faint-with-needles[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Do-you-faint-with-needles[]\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> 13. Where did you hear about our clinic? <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Where-did-you-hear-about-our-clinic\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Where-did-you-hear-about-our-clinic[]\" value=\"Doctor\" \/><span class=\"wpcf7-list-item-label\">Doctor<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Where-did-you-hear-about-our-clinic[]\" value=\"Friends\" \/><span class=\"wpcf7-list-item-label\">Friends<\/span><\/label><\/span><span class=\"wpcf7-list-item\"><label><input type=\"checkbox\" name=\"Where-did-you-hear-about-our-clinic[]\" value=\"Newspaper\" \/><span class=\"wpcf7-list-item-label\">Newspaper<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Where-did-you-hear-about-our-clinic[]\" value=\"Other\" \/><span class=\"wpcf7-list-item-label\">Other<\/span><\/label><\/span><\/span><\/span><span class=\"wpcf7-form-control-wrap\" data-name=\"Other\"><input size=\"40\" class=\"wpcf7-form-control wpcf7-text\" autocomplete=\"other\" aria-invalid=\"false\" value=\"\" type=\"text\" name=\"Other\" \/><\/span>\n<\/p>\n<p><label> 14. Will you be leaving Canada for more than one year in the near future? <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Will-you-be-leaving-Canada-for-more-than-one-year-in-the-near-future\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Will-you-be-leaving-Canada-for-more-than-one-year-in-the-near-future[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Will-you-be-leaving-Canada-for-more-than-one-year-in-the-near-future[]\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><label> 15. Are you a Canadian citizen? <\/label><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"Are-you-a-Canadian-citizen\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first\"><label><input type=\"checkbox\" name=\"Are-you-a-Canadian-citizen[]\" value=\"Yes\" \/><span class=\"wpcf7-list-item-label\">Yes<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"checkbox\" name=\"Are-you-a-Canadian-citizen[]\" value=\"No\" \/><span class=\"wpcf7-list-item-label\">No<\/span><\/label><\/span><\/span><\/span>\n<\/p>\n<p><span class=\"btn-primary square no-icon\"><span class=\"btn-tx\">Submit<\/span><span class=\"btn-tx\" aria-hidden=\"true\">Submit<\/span><\/span>\n<\/p>\n<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n<\/div><\/div>\n\n<\/div>\n            \n\n<section class=\"block-margin cursor-container\" data-emergence=\"hidden\">\n    <div class=\"cursor\">\n    <span class=\"cursor-label accent-up\">Play video<\/span>\n    <span class=\"screen-reader-only\"> Welcome to Medicart Vein Clinic<\/span>\n  <\/div>\n\n  <div class=\"module video-module block-padding\">\n\n    <h2 class=\"video-title reveal reveal-fade-up reveal-delay-1\">Welcome to Medicart Vein Clinic<\/h2>\n\n    \n      <button class=\"btn-video overlay\" data-video=\"BXX6f7Iyti4\" aria-label=\"Play video\"><\/button>\n\n            <div class=\"video-frame\">\n        <button data-video=\"BXX6f7Iyti4\" class=\"btn-close video-close\"><svg role=\"img\" class=\"icon icon-close-2\" height=\"22\" width=\"22\">\n                    <use href=\"#close-2\"><\/use>\n                  <\/svg><\/button>\n        <div class=\"video-container\" data-video=\"BXX6f7Iyti4\"><\/div>\n      <\/div>\n    \n                  <div class=\"video-images reveal reveal-fade-up reveal-delay-2\">\n        <div class=\"picture \">\n          \n    <picture>\n    <source media=\"screen and (max-width: 600px)\" type=\"image\/jpeg\" srcset=\"https:\/\/medicart.com\/wp-content\/uploads\/2023\/07\/Capture-decran-le-2023-07-20-a-09.29.03.png 1x\">\n        <source media=\"screen and (min-width: 601px), screen and (-webkit-min-device-pixel-ratio: 2), screen and (min--moz-device-pixel-ratio: 2), screen and (-moz-min-device-pixel-ratio: 2), screen and (-o-min-device-pixel-ratio: 2\/1), screen and (min-device-pixel-ratio: 2), screen and (min-resolution: 192dpi), screen and (min-resolution: 2dppx)\" srcset=\"https:\/\/medicart.com\/wp-content\/uploads\/2023\/07\/Capture-decran-le-2023-07-20-a-09.29.03.png 1x\" type=\"image\/jpeg\">\n        <source srcset=\"https:\/\/medicart.com\/wp-content\/uploads\/2023\/07\/Capture-decran-le-2023-07-20-a-09.29.03-768x399.png 1x\" type=\"image\/jpeg\">\n        <img loading=\"lazy\" decoding=\"async\" class=\"\" alt=\"\" src=\"https:\/\/medicart.com\/wp-content\/uploads\/2023\/07\/Capture-decran-le-2023-07-20-a-09.29.03-768x399.png\" width=\"1536\" height=\"1536\">\n    <\/picture>\n        <\/div>\n                  <button class=\"btn-video video-play-container\" data-video=\"BXX6f7Iyti4\">\n            <span class=\"screen-reader-only\">Play video<\/span>\n            <span class=\"video-play reveal reveal-fade-up\">\n            <svg role=\"img\" class=\"icon icon-play\" height=\"22\" width=\"10\">\n                    <use href=\"#play\"><\/use>\n                  <\/svg>\n          <\/span>\n          <\/button>\n              <\/div>\n    \n        <div class=\"slider-background reveal reveal-fade-in\" aria-hidden=\"true\">\n      <img decoding=\"async\" src=\"\/wp-content\/themes\/medicart\/assets\/img\/texture_dark.png.webp\" alt=\"\">\n    <\/div>\n  <\/div>\n  <\/section>\n  ","protected":false},"excerpt":{"rendered":"<p>Following the email you received from our team, please review the documents applicable to your situation among the following 3 options. 1. First consultation &#8211; Varicose and Spider Veins (new patients) We invite you to read the brochure and review the consent form before your consultation appointment. Read the brochure Review the consent form\u00a0(signature required [&hellip;]<\/p>\n","protected":false},"author":36991,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"acf":{"picture_main":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Documents - Medicart Ottawa<\/title>\n<meta name=\"description\" content=\"The document library contains important information to read before your varicose vein treatment as well as various consent forms.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/medicart.com\/en\/document-library\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Documents - Medicart Ottawa\" \/>\n<meta property=\"og:description\" content=\"The document library contains important information to read before your varicose vein treatment as well as various consent forms.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/medicart.com\/en\/document-library\/\" \/>\n<meta property=\"og:site_name\" content=\"Medicart\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/epiderma.ca\/\" \/>\n<meta property=\"article:modified_time\" content=\"2024-06-05T13:36:08+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/medicart.com\/en\/document-library\/\",\"url\":\"https:\/\/medicart.com\/en\/document-library\/\",\"name\":\"Documents - Medicart Ottawa\",\"isPartOf\":{\"@id\":\"https:\/\/medicart.com\/en\/#website\"},\"datePublished\":\"2023-07-20T16:20:50+00:00\",\"dateModified\":\"2024-06-05T13:36:08+00:00\",\"description\":\"The document library contains important information to read before your varicose vein treatment as well as various consent forms.\",\"breadcrumb\":{\"@id\":\"https:\/\/medicart.com\/en\/document-library\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/medicart.com\/en\/document-library\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/medicart.com\/en\/document-library\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/medicart.com\/en\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Documents &#8211; Medicart Ottawa\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/medicart.com\/en\/#website\",\"url\":\"https:\/\/medicart.com\/en\/\",\"name\":\"Medicart\",\"description\":\"Cliniques M\u00e9dico-Esth\u00e9tiques\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/medicart.com\/en\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Documents - Medicart Ottawa","description":"The document library contains important information to read before your varicose vein treatment as well as various consent forms.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/medicart.com\/en\/document-library\/","og_locale":"en_US","og_type":"article","og_title":"Documents - Medicart Ottawa","og_description":"The document library contains important information to read before your varicose vein treatment as well as various consent forms.","og_url":"https:\/\/medicart.com\/en\/document-library\/","og_site_name":"Medicart","article_publisher":"https:\/\/www.facebook.com\/epiderma.ca\/","article_modified_time":"2024-06-05T13:36:08+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/medicart.com\/en\/document-library\/","url":"https:\/\/medicart.com\/en\/document-library\/","name":"Documents - Medicart Ottawa","isPartOf":{"@id":"https:\/\/medicart.com\/en\/#website"},"datePublished":"2023-07-20T16:20:50+00:00","dateModified":"2024-06-05T13:36:08+00:00","description":"The document library contains important information to read before your varicose vein treatment as well as various consent forms.","breadcrumb":{"@id":"https:\/\/medicart.com\/en\/document-library\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/medicart.com\/en\/document-library\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/medicart.com\/en\/document-library\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/medicart.com\/en\/"},{"@type":"ListItem","position":2,"name":"Documents &#8211; Medicart Ottawa"}]},{"@type":"WebSite","@id":"https:\/\/medicart.com\/en\/#website","url":"https:\/\/medicart.com\/en\/","name":"Medicart","description":"Cliniques M\u00e9dico-Esth\u00e9tiques","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/medicart.com\/en\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/medicart.com\/en\/wp-json\/wp\/v2\/pages\/18104"}],"collection":[{"href":"https:\/\/medicart.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/medicart.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/medicart.com\/en\/wp-json\/wp\/v2\/users\/36991"}],"replies":[{"embeddable":true,"href":"https:\/\/medicart.com\/en\/wp-json\/wp\/v2\/comments?post=18104"}],"version-history":[{"count":59,"href":"https:\/\/medicart.com\/en\/wp-json\/wp\/v2\/pages\/18104\/revisions"}],"predecessor-version":[{"id":22993,"href":"https:\/\/medicart.com\/en\/wp-json\/wp\/v2\/pages\/18104\/revisions\/22993"}],"wp:attachment":[{"href":"https:\/\/medicart.com\/en\/wp-json\/wp\/v2\/media?parent=18104"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}