Home > Schedule an Appointment Schedule an Appointment We appreciate your interest in Capitol Vein & Laser Centers. Please complete the form below to schedule an appointment or forward your comments/questions about vein health or cosmetic procedures to our staff. All information sent through our site is secure. We will not sell, share, or distribute your personal information to any outside parties. Title Select One Mr. Mrs. Ms. Dr. First Name* Last Name* Address* City* State* Zip Code* Phone Number* Email address Which location would you prefer? Choose One CVL in Bethesda, MD CVL in Charles Town, WV CVL in Frederick, MD CVL in Leesburg, VA Your Concern Choose One Spider Veins Varicose Veins Swollen Legs Pain & Heaviness in legs Facial Veins Skin Pigmentation/Brown Spots Fine Lines Wrinkles Facial Pore Size Skin Texture/Smoothness Rosacea Skin Redness/Blotchiness Acne Scarring Unwanted Hair Restless Leg Syndrome How did you hear about us? Select One Doctor Friend/Family Internet Search Frederick News Post I AM Modern Magazine Martinsburg Journal News Montgomery Mall sign Leesburg Today News Loudoun Co. Woman News Loudoun Times Mirror News Phone book TV Vein Directory website Washingtonian Magazine Other Comments/Questions Please send me a complimentary DVD on CVL's Varicose Vein treatments. We will not sell, share, or distribute your personal information to any outside parties. *Indicates required field. NO vendors or solicitors please.