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.
Referral Protocols
Questions and Issues For You to Consider When Referring Your PatientsIt is essential that patients bring all pertinent plain radiographs and arteriograms. Radiologist’s interpretation of x-rays are helpful but not sufficient.
Medical/Surgical Information
Most Important
1. Name of Referring MD/Provider / Phone / Fax
2. Reason for Referral and Expectations
3. Problem List
4. Medical / Surgical History
5. Medication / Allergy List
6. Recent EKG; Most Recent Angiogram and Ultrasound
Please send the following information if pertinent to the referral.
1. Most Recent Office Note
2. Previous Course of Treatment
3. Operative Reports
4. Most Recent Lab Tests
Patient Demographic Information
Name, Date of Birth, Address, Phone Number, Insurance Plan, Worker’s Compensation Information, if applicable
VASCULAR DIAGNOSTIC LABORATORY
Recent advances in vascular diagnosis permit accurate, non-invasive assessment for diseases of the peripheral vascular system. The Clinical Vascular Laboratory offers state-of-the-art, non-invasive testing to accompany standard clinical evaluation. Use of non-invasive techniques can improve the accuracy of diagnosis, document the degree of progression of the disease, and avoid unnecessary testing. The non-invasive vascular laboratory combines with existing services in vascular surgery to provide total care for patients with arterial and venous diseases.
TO SCHEDULE AN APPOINTMENT
Telephone:
802-847-8827
Fax:
802-847-0970
Location:
Level 5, Main Pavilion
Medical Center Campus
111 Colchester Avenue,
Burlington, VT 05401
Office Hours:
Monday-Friday, 8:00 am-5:00 pm
Referral Information
This is information the Vascular Laboratory Specialist needs to provide the best care for your patient.
Questions and Issues For You to Consider When Referring Your Patients
1. Please complete a vascular laboratory referral form.
Medical/Surgical Information
Most Important
1. Name of Referring MD/Provider/Phone/Fax
2. Reason for Referral and Expectations
Please send the following information if possible. It is desirable, not essential.
1. Problem List
2. Operative Reports
3. Procedure Reports
4. Hard Copy Images
Patient Demographic Information
Name, Date of Birth, Address, Phone Number, Insurance Plan,Worker’s Compensation Information, if applicable
