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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:   
Level 4, Main Pavilion
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