Application

To register for the Comprehensive Vein Training course, complete the contact form at the bottom of the page and our office will contact you promptly. Additionally, you can call 478-743-2472 to schedule your training.

All participants will provide a copy of his or her current license. Health care extenders will submit a letter from their physician/medical director who is licensed to practice medicine in their state.

Hands-on opportunities are offered to physicians and mid-level providers with a Georgia medical license. View the documents below to obtain your Georgia Training License.

Educational Training Certificate Information

Educational Training Certificate Application

Form E – Affidavit of Citizenship

Form G1 – Specific Power of Attorney


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