Fletcher Allen, a Vermont university hospital and medical center, serves all of
Vermont and the northern New York region. Located in Burlington, Fletcher Allen is a regional, academic healthcare center and teaching hospital in alliance with the University of Vermont.
Gynecologic Oncology Referral Information
The Gynecologic Oncology Service provides full diagnostic, therapeutic, and follow-up services for patients with gynecologic cancer. Services are provided on an inpatient and outpatient basis with compassionate care of both the patient and her family. Total patient care is provided in the areas of surgical, radiological, and chemotherapeutic needs of the patient. In addition to the physicians, the division includes two oncology nurse clinicians.
TO SCHEDULE AN APPOINTMENT
Telephone:
(802) 847-5110
Fax:
(802) 847-2360
Location:
Main Pavilion, Level 4
Medical Center Campus
111Colchester Avenue
Burlington, VT 05401
Office Hours:
Monday-Friday, 8:00 am-5:00 pm
REFERRAL INFORMATION
This is information the Gynecologic Oncologist needs to provide the best care for your patient.
Questions and Issues for You to Consider When Referring Your Patients
1. Refer if there is a suspicion or a diagnosis of cancer.
Medical/Surgical Information
Critical Information
The specialist must have the following medical information prior to the patient’s visit.
1. Pathology Reports and SLIDES Related to the Referral
Slides only Needed from Labs Outside Fletcher Allen
2. Imaging Reports and Hard Copy Images related to the referral
hand carry or mail reports and images from outside Fletcher Allen
Most Important
1. Name of Referring MD/Provider/Phone/Fax
2. Reason for Referral and Expectations
3. Problem List
4. Medical/Surgical History
5. Medication/Allergy List
6. Most Recent office note pertaining to the referral
7. Previous Course of Treatment
8. Operative reports and notes related to the referral
9. Most Recent Lab Tests related to the referral
Please send the following information if pertinent to the referral.
1. Specialized Tests
2. Outside Consult Reports
3. Hospital Discharge Summary
Patient Demographic Information
Name, Date of Birth, Address, Phone Number, Insurance Plan, Worker’s Compensation Information, if applicable