If you are a healthcare professional looking to refer a patient to us, please download and fill out the appropriate form below. Completed forms can be faxed to directly to the Maryland Vascular Specialists office to which you are referring your patient.
If you have any questions or concerns, please contact our office directly by phone or submit your question online, and one of our team members will be happy to assist you. Online inquiries receive a response within 24 – 48 hours.
LEARN MORE ABOUT OUR PROCESS
A Referral Process that’s easy for you, your staff and your patients…
1. Complete a prescription or referral form for a consult and/or ultrasound, and provide your signature.
3. Once we receive your referral, a patient care coordinator (PPC) will contact your patient. They will call three times in a 7 day period; failure to reach the patient will result in a follow-up call to your office.
4. Once an appointment is scheduled, our PCC will fill out the appointment date on the original referral form and fax it back to your office.
5. Post consult notes, ultrasound reports and post-op reports will be faxed over within 48 hours of the appointment (STAT reports are 24 hours).
For additional information or any questions regarding our services, referral process or company information please contact your Maryland Vascular Specialists local office or Practice Liaison:
Lisa Clark – Lutherville/Rosedale/Essex Markets Email: email@example.com
John Carper – Glen Burnie/Laurel/Columbia Markets Email: firstname.lastname@example.org