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PATIENT REFERRAL FORM Plaza North Bldg, 12319 N. Mopac Expwy, Suite 250, Austin, TX 78758Phone (512) 9648346 FAX (512) 3399105 www.CardioVascularAustin.comPatient Name:___ DOB:___ Patient Phone:___
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How to fill out austin vascular surgeons referral

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How to fill out austin vascular surgeons referral

01
Obtain a referral form from your primary care physician or specialist.
02
Fill out the patient information section with your personal details.
03
Provide details about your medical history, previous treatments, and current symptoms.
04
Specify the reason for needing a referral to an Austin vascular surgeon.
05
Submit the completed referral form to the vascular surgeon's office either in person or through fax or email.

Who needs austin vascular surgeons referral?

01
Individuals who have been diagnosed with vascular issues such as peripheral artery disease, deep vein thrombosis, varicose veins, or aneurysms may need an Austin vascular surgeons referral.
02
Patients who have been recommended for vascular surgery by their primary care physician or specialist would also require a referral to an Austin vascular surgeon.

What is Austin Vascular Surgeons Referral Consultation s Form?

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Austin vascular surgeons referral is a document that is used to refer a patient to a vascular surgeon in Austin for further evaluation or treatment.
A physician or healthcare provider is required to file austin vascular surgeons referral for their patient.
To fill out austin vascular surgeons referral, the physician or healthcare provider needs to provide patient information, reason for referral, and any relevant medical history.
The purpose of austin vascular surgeons referral is to ensure that patients receive specialized care from a vascular surgeon in Austin.
Patient's personal information, reason for referral, medical history, and any relevant test results must be reported on austin vascular surgeons referral.
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