St Michaels Hospital Vascular Surgery Clinic free printable template

St Michael's Vascular Surgery Clinic Vascular & Endovascular Surgery Vascular Payphone: (416) 8646047 FAX: (416) 8646012206) 215D5922 URGENT REFERRAL WILL BE SEEN WITHIN 3 BUSINESS DAYS Please fax

How to fill out St Michaels Hospital Vascular Surgery Clinic

How to fill out St. Michael's Hospital Vascular Surgery Clinic Referral

1. Obtain the referral form from the St. Michael's Hospital website or the clinic directly.
2. Fill out the patient's personal information, including name, age, gender, and contact details.
3. Provide the referring physician's details, including name, specialty, and contact information.
4. Indicate the reason for the referral, including specific vascular issues the patient is experiencing.
5. Attach relevant medical history and diagnostic reports that may assist in the evaluation.
6. Sign and date the referral form.
7. Submit the completed form to the St. Michael's Hospital Vascular Surgery Clinic via fax or email, or hand it to the patient to bring during their appointment.

Who needs St. Michael's Hospital Vascular Surgery Clinic Referral?

1. Patients experiencing vascular-related issues such as peripheral artery disease, aneurysms, or vascular malformations.
2. Individuals referred by primary care physicians or specialists who require surgical intervention for vascular conditions.
3. Patients seeking a second opinion on vascular surgery options.

People Also Ask about

Why have I been referred to a vascular clinic?

Your primary care physician may refer you to a vascular surgeon if you have a health problem that involves your blood vessels. Sometimes, it may be because of a symptom that could be a sign of a vascular problem. For example, pain in your legs may mean you have peripheral artery disease.

Why would you be referred to vascular?

Your primary care physician may refer you to a vascular surgeon if you have a health problem that involves your blood vessels. Sometimes, it may be because of a symptom that could be a sign of a vascular problem. For example, pain in your legs may mean you have peripheral artery disease.

What is the criteria for vascular referral?

Referral Criteria Blood pressure (less than 130/80) Aim for HbA1c less than 7% Start statin. Smoking cessation. Aspirin 75mg. Avoid betablockers if possible.

What is a vascular referral?

A specialist vascular service is a team of healthcare professionals who have training and experience in diagnosing and treating varicose veins. If you have varicose veins that are bleeding your healthcare professional should refer you to a vascular service immediately.

How long does a vascular referral take?

We will usually see patients within four to six weeks of referral.

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What is St. Michael's Hospital Vascular Surgery Clinic Referral?

St. Michael's Hospital Vascular Surgery Clinic Referral is a formal request for a patient to be evaluated and treated by healthcare professionals specializing in vascular surgery at St. Michael's Hospital.

Who is required to file St. Michael's Hospital Vascular Surgery Clinic Referral?

Healthcare providers, such as general practitioners or specialists, who identify the need for vascular surgery in a patient are required to file the referral.

How to fill out St. Michael's Hospital Vascular Surgery Clinic Referral?

To fill out the referral, a healthcare provider must complete the designated referral form, providing patient details, medical history, and reason for referral, and then submit it to St. Michael's Hospital.

What is the purpose of St. Michael's Hospital Vascular Surgery Clinic Referral?

The purpose of the referral is to ensure that patients receive appropriate vascular surgical assessment and treatment based on their medical needs.

What information must be reported on St. Michael's Hospital Vascular Surgery Clinic Referral?

The information that must be reported includes patient identification details, clinical background, specific vascular concerns, any relevant test results, and the reason for the referral.