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.
Referral Information for Pediatric Gynecology
Young girls and adolescents are seen for gynecological complaints as well as gynecologic problems related to endocrine, developmental, or growth disorders.
To Schedule an Appointment:
Main Office: (802) 847-1400
Fax: (802) 847-8433
Location:
Main Pavilion, Level 4
Medical Center Campus
111 Colchester Avenue
Burlington, VT 05401
Office Hours
2nd and 4th Wednesdays, 1:00 pm-5:00 pm
Other appointment times are available as needed.
Use Provider Access Service 800-639-2480
Referral Information
The Pediatric Gynecologist needs the following information to provide the best care for your patient.
Medical/Surgical Information
Most Important
- Name of Referring MD/Provider / Phone / Fax
- Reason for Referral and Expectations
- The Specifics of the Complaint
- Past Medical and Surgical Documentation
- Weight and Growth Charts for Developmental Disorders
Patient Demographic Information
Name, Date of Birth, Parents' Full Names, Address, Phone Number, Insurance Plan




