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.
Pediatric Neurosurgery Referral Information
Pediatric Neurosurgery cares for infants and children with diseases of the nervous system, brain, and spinal cord. The surgical treatment of such diverse problems as trauma, brain and spinal cord tumors, hydrocephalus, epilepsy, and birth defects requires specialized care and understanding.
Telephone:
(802) 847-4590
Fax:
(802)847-0654
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-4:30 pm
Referral Information
The Pediatric Neurosurgeon 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. Medication / Allergy List
4. Most Recent office notes pertaining to the visit
5. Previous Course of Treatment
6. Hard Copy Images Related to the Diagnosis
Please send the following information if possible. It is desirable, not essential.
1. Problem List
2. Outside Consult Reports
3. Hospital Discharge Summary
4. Most Recent Lab Tests
5. Recent ED Notes Pertinent to the Diagnosis
Diagnosis-Specific Information:
Please send the hard copy images if these tests have already been completed:
1. Low Back Pain: Please Send CAT or MRI Hard Copy Image
2. Neck Pain: Please Send MRI or Myelogram Hard Copy Image
3. Big Head/Hydrocephalus: Please send Cranial US, CAT or MRI Hard Copy Image
4. Abnormal Head Shape: Please send Skull X-Ray or CAT Hard Copy Image
Patient Demographic Information
Name, Date of Birth, Parents Full Names, Address, Phone Number, Insurance Plan
