To streamline the referral process, please upload the following documents for the patient you are referring, if applicable.
• Patient Demographics and copy of insurance card
• Last two progress notes
• Discharge summary from most recent hospital admission
• Consult notes from other specialists regarding condition warranting the referral
• If Oncology referral, last 2 lab reports to include any tumor markers (CEA, CA-125, etc.)
• If Hematology referral, must have last 4 lab reports (3-6 months)
• If Breast Cancer, include HER2, Estrogen Receptors (ER), and Progesterone Receptors (PR) reports
• All Pathology reports
• Radiology reports – US, MRIs, CTs, Mammograms, NucMed, PET, etc
• Operative reports and their corresponding pathology reports, if applicable