Urology Referral Information

The division of Urology offers state-of-the-art urologic services, including evaluation and management of all urologic cancers, a prostate cancer support group, and comprehensive medical and surgical evaluation of kidney stone disease.  The division also provides a full range of treatment options for the evaluation and treatment of infertility, a “no-scalpel” vasectomy                  procedure, and comprehensive evaluation and treatment of impotency.  The section takes a multidisciplinary approach in the evaluation and treatment of both male and female incontinence.
           
TO SCHEDULE AN APPOINTMENT
   
Locations:   
Level 5, East Pavilion
Medical Center Campus
111 Colchester Avenue, Burlington, VT 05401
Telephone: 802-847-2884
Fax: 802-847-6020
Office Hours: Monday-Friday, 8:00 am-5:00 pm

6 Crest Road, St. Albans, VT 05478
Telephone: 802-524-0719
Fax: 802-524-8421
Office Hours: Monday-Wednesday, Friday, 8:00 am-5:00 pm; Thursday, 9:00 am-5:00 pm
   
Referral Information
This is information the Urologist needs to provide the best care for your patient.

Questions and Issues For You to Consider When Referring Your Patients
1.     Please allow at least 3 visits for referrals.
2.     If you have any questions about referrals, please call one of the Urologists.
3.     Please ask patient to be prepared to give a urine sample at the appointment
4.     Other family members are welcome to be present at the initial appointment. 
5.     Please ask patient to hand carry films to the appointment.

Medical/Surgical Information
Most Important
1.     Name of Referring MD/Provider/Phone/Fax
2.     Reason for Referral
3.     Medication / Allergy List
4.     PSA Results if Available

Please send the following information if pertinent to the referral.
1.     Pathology Reports
2.     Hard Copy Images
3.     Nuclear Medicine Reports

Please send the following information if possible. It is desirable, not essential
.
1.     Problem List
2.     Medical / Surgical History
3.     Most Recent Office Note Pertaining to the Visit

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