​Guide for Physicians Referring to the Gynecologic Oncology Clinic

Standard Referral​

To complete the standard referral process:

Download and complete the appropriate referral form.
Fax the completed form to the appropriate number: The form will be reviewed to ensure that it is complete; if incomplete, the form will be returned to you.
Our office will call you with information about the patient’s first appointment.
Your office is responsible for providing the patient with the appointment information. This includes time and location, and important documents, test results and imaging that they must bring.

It is extremely important that your patient brings the following reports to their first appointment:

  • Latest imaging on CD-ROM
  • Any recent reports that would have not been sent by referring MD (i.e. ER visit)

Referral Forms

Go to the Gynecologic Oncology Clinic​​


Last reviewed: 10/9/2023
Last modified: 11/2/2023 6:33 AM
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