Referring Physicians

Refer a Patient to Shapiro Vein Center

Thank you for the confidence you’ve shown in our ability to treat symptomatic vein disease by referring your patients to us. Please complete the Referring Physician and Patient forms below. Our staff will contact your patient to schedule an initial consultation. Please call our office at 847-675-9500 if you have any questions.

Physician Information

Patient Information

Schedule an Appointment

Please fill out the form below or give us a call to schedule your appointment.

What happens in a consultation?

  • Meet Dr. Robert Shapiro.
  • Help him understand your goals.
  • Dr Shapiro will customize a treatment plan for you, following your detailed ultrasound.

“I would highly recommend Dr. Shapiro and his staff! The whole process is very smooth and quick. It’s extremely clean and the entire staff is caring, kind and friendly!”

How may we help?

* All indicated fields must be completed.
Please include non-medical questions and correspondence only.

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