Pediatric Cardiology Referral Information

The Pediatric Cardiology section provides evaluation and management of congenital and acquired heart disease in infants, children, and adolescents. Diagnostic and interventional cardiac catheterization, echocardiography and fetal echocardiography procedures are performed.

To Schedule an Appointment:

Main Office:
(802) 847-8950

Fax: (802) 847-7231

Location:
Children’s Specialty Center
East Pavilion, Level 4
Medical Center Campus
111 Colchester Avenue
Burlington, VT 05401

Office Hours
Monday-Friday, 8:00 am-5:00 pm
Use Provider Access Service 800-639-2480

Referral Information
The Pediatric Cardiologist needs the following information to provide the best care for your patient.

Medical/Surgical Information

Most Important

  1. Name of Referring MD/Provider / Phone / Fax
  2. Reason for Referral and Expectations
  3. Outside Consult Reports
  4. Operative Reports if Cardiology Related
  5. CXR Reports
  6. ECHO Hard Copy

Please send the following information if pertinent to the referral.

  1. Most Recent Lab Tests
Please send the following information if possible. It is desirable, not essential.

  1. Problem List
  2. Medical / Surgical History
  3. Medication / Allergy List
  4. Most Recent Office Note Pertaining to the Referral
  5. Previous Course of Treatment
  6. Hospital Discharge Summary

Patient Demographic Information
Name, Date of Birth, Parents' Full Names, Address, Phone Number, Insurance Plan