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.
Radiation Oncology Referral Information
RADIATION ONCOLOGY
Radiation Oncology services are provided at Fletcher Allen’s Medical Center Campus. The Radiation Oncology division is a consultative and treatment service for adults and pediatric cancer patients. The service evaluates and provides external beam and brachytherapy treatment for all cancer cases. The service offers Intensity Modulated Radiation Therapy (IMRT) and Image-Guided Radiation Therapy (IGRT).
TO SCHEDULE AN APPOINTMENT
Telephone: (802) 847-3506
Fax: (802) 847-2386
Location:
Shepardson Building, Level 2
Medical Center Campus
111 Colchester Avenue
Burlington, VT 05401
Hours:
Monday-Friday, 7:30 am-4:30 pm
REFERRAL INFORMATION
The Radiation Oncologist needs the following information to provide the best care for your patient.
Patient Demographic Information
Name, Date of Birth, Address, Phone Number, Insurance Plan
Medical/Surgical Information
Most Important
1. Name of Referring MD/Provider / Phone / Fax
2. Reason for Referral: Signs and Symptoms (Very Important) 3. Medication / Allergy List
4. Previous Course of Treatment
5. Date of LMP for all Women within Childbearing Age
6. Patient’s Weight
7. Other Specific information as requested on referral form
Questions & Issues to Consider When Referring Your Patients
1. Patients referred for Mammography
a. Please make sure the patient is referred to the appropriate campus. Some campuses just do screening mammograms and others offer diagnostic procedures.
b. Implants, cancerous lumpectomy patients, and problem cases should be scheduled at the UHC Campus, 1 South Prospect Street.
c. Please describe the breast problems or state there are none.
d. Specify if the patient has implants.
e. Specify prior cancers.
f. Please identify any special needs the patient may have
(i.e. in a wheelchair).
For Interventional Procedures, please send or complete the following:
1. Phone Consultation with Radiologist
2. Most Recent Lab Tests
3. Most Recent office notes
Please send the following information if it pertains to the referral. 1. Problem List
2. Medical / Surgical History
3. Hard Copy Images and Reports from outside Radiologists 4. Nuclear Medicine Reports
5. Procedure Reports
6. Prior Hospital Discharge Summaries and/or Operative Reports
