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Referral Information

Requesting a consultation from the Thrombosis and Hemostasis Program is easy, but we will need certain records and information about the reason for the consultation.

Please complete the referral form found below and fax it to us at 802-847-1258, along with the requested medical records.

If you experience any problems, you can also call us at 802-847-4925. Ask for the new patient coordinator.  

Contact Information

To schedule an appointment or for further information:

  • Phone:  (802) 847-4925 or (802) 847-8400
  • Fax:     (802) 847-4398
  • E-mail:  THP@vtmednet.org