REFERRAL Schedule a Consultation for Your Varicose Vein Treatment To provide a thorough medical assessment, ask your family physician or nurse practitioner to send Kitchener Waterloo Vein Clinic a referral including your medical history. Referral forms can be downloaded in the link below. Patient Referral Form Patients are seen at either of our office locations in Kitchener or Guelph. We assess patients from Waterloo, Kitchener, Cambridge, Guelph, and surrounding areas. Your consultation includes an on-site ultrasound performed by your Vascular surgeon to assess your varicose veins, followed by a discussion of treatment options.