Physician Patient Referrals
If you are a healthcare professional looking to refer a patient to us, please fill out the appropriate form below.
- Patient Referral Form - Online Fillable
- Referring Provider Video Brief
- Patient Referral Form - Download PDF
- Sample Ultrasound Report
CLICK HERE for a list of our vascular outpatient centers, vascular labs, and offices throughout Maryland and Pennsylvania.
If you have any questions or concerns, please contact our office directly by phone, and one of our team members will be happy to assist you.
LEARN MORE ABOUT OUR PROCESS
A Referral Process that’s easy for you, your staff, and your patients…
- Complete a signed order or referral form to request a consultation and/or ultrasound for your patient.
- Provide a copy of the order/referral to the patient and send the referral to any of our 16 offices. (Click here for locations and fax numbers).
***For STAT ultrasounds, please call our office directly so we can schedule the patient as soon as possible.
- Once we receive your referral, our office will promptly contact your patient to schedule their appointment (typically within 1–3 business days).
- Our office will provide you with a copy of the consultation and/or ultrasound report and will keep you updated on your patient’s treatment plan. STAT reports are provided within 24 hours.