To streamline the referral process, please upload the following documents for the patient you are referring, if applicable.

Insurance:

• Patient Face Sheet
• Insurance cards - front and back, primary and secondary
• Referral (if applicable)

Medical Records (Oncology Patients):

• All pathology reports (include surgical pathology)
• Breast cancer: include ER, PR, her-2-neu
• Last 2 years of labs
• All radiology reports including chest X-rays, mammograms, CT, MRI,
• PET, bone scans, EKG, venous doppler, Dexa scans and ultrasounds

            ·    If scans were not performed at Boone Hospital, where:

            ·    Bring outside CT, PET, and/or MRI films

• All referring physician notes including: relevant consult notes, op notes, procedure notes and any hospital records
• Most recent medication list

Medical Records (Hematology Patients):

• All labs (including last 2 years CBC)
• All referring physician notes including: relevant consult notes, op notes, procedure notes, and any hospital records (include marrows).

            ·    Non-Boone Hospital records, where:

            ·    Bring outside CT, PET, and/or MRI images on cd

• Most recent medication list

Medical Records (All Patients):

• Include any DNR, Advanced Directive or Living Will information (both Oncology and Hematology)