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Colposcopy Service

The weekly colposcopy clinic sees women who have had an abnormal pap smear and for HPV, condylomata. Procedures include colposcopy, Loops and Leeps.

TO SCHEDULE AN APPOINTMENT

Telephone:   
802-847-1400

Fax:       
802-847-8433

Location:   
Level 4, Main Pavilion
Medical Center Campus
111 Colchester Avenue, Burlington, VT 05401

Office Hours:   
Tuesdays, 1:00 pm-5:00 pm

Referral Information
This is information the Gynecologist needs to provide the best care for your patient.

Questions and Issues For You to Consider When Referring Your Patients
1.     Please inform the receptionist if the patient is pregnant.
2.     Do not schedule appointment during menses.
3.     If menopausal, the patient should first be treated with a short course
    of Vaginal Estrogen Cream.
4.     Patient should have nothing in her vagina starting 72 hours prior to her appointment.
5.     When completing the Managed Care Referral Form, 3 pre-approved visits is ideal.

Medical/Surgical Information
Most Important
1.     Name of Referring MD/Provider/Phone/Fax
2.     Reason for Referral and Expectations
3.     Most Recent Lab Tests Pertaining to the Referral
    Send Abnormal Pap Reports
4.     Most Recent Pathology Reports Pertinent to the Referral

Please send the following information if pertinent to the referral.
1.     Outside Consult Reports
2.     Operative Reports Relating to the Referral

Please send the following information if possible. It is desirable, not essential.
1.     Problem List
2.     Medication / Allergy List
3.     Most Recent Office Note Pertaining to the Visit
4.     Previous Course of Treatment

Diagnosis-Specific Information
1.     Abnormal Pap Smear:             Please Send Specific Pap Results
2.    Abnormal Looking Cervix or Vagina:       Please Send a Copy of the Office Note                                       if Reason for Referral

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