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Referral Information

 

PLASTIC, RECONSTRUCTIVE AND COSMETIC SURGERY
Staffed by board-certified plastic surgeons and two physician assistants, this section focuses on defects in the surface of the body.  Specific interests include congenital craniofacial abnormalities, cutaneous malignancies, post-traumatic or post-surgical deformities causing aesthetic or functional disability, surgery of the hand, cosmetic surgery of the face and body, problems of localized wound healing, breast reconstruction and microvascular surgery.

This section founded and directs the Vermont State Craniofacial/Cleft Palate Clinic.  Here, early consultation with parents of the clefted or otherwise deformed child is designed to help allay fears about long-term problems related to the deformity.  Cosmetic and ablative laser procedures
(i.e. telangiectasias, tattoos, and skin wrinkles) are performed in conjunction with the Fletcher Allen Vermont Laser Center.

TO SCHEDULE AN APPOINTMENT
    
Telephone:    
802-847-3340

Fax:        
802-847-7083

Location:    
354 Mountain View Drive,
Colchester, VT 05446

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

Referral Information
This is information the Plastic Surgeon needs 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 Note Pertaining to the Visit

Please send the following information if pertinent to the referral.
1.     Most Recent Imaging Reports

Please send the following information if possible. It is desirable, not essential.
1.     Problem List
2.     Outside Consult Reports if Pertinent
3.     Operative Reports if Pertinent

Diagnosis-Specific Information
1.     Skin Cancers: Please Specify the Type of Skin Cancer; Please Send Most Recent Lab Tests and Pathology Reports

Patient Demographic Information
Name, Date of Birth, Address, Phone Number, Insurance Plan, Worker’s Compensation Information, if applicable