Pediatric Orthopedics Referral Information

Pediatric Orthopedic services include diagnosis and treatment of musculoskeletal diseases and trauma in children, including tumors. For patients with scoliosis, services include specialize spinal radiography and both anterior and posterior reconstruction.

Scheduling: (802) 847-6000

Main Office: (802) 847-4690

Fax: (802) 847-4406

Location:
Orthopedic Specialty Center
192 Tilley Drive
South Burlington, VT 05403

Office Hours:
Monday-Friday, 8:00 am-5:00 pm

Referral Information
The Pediatric Orthopedist 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. Medical / Surgical History
4. Medication / Allergy List
5. Most Recent office notes pertaining to the referral
6. Hard Copy Images

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