|
| Department |
Information Needed Prior to Patient Being Seen
|
Attending
|
|
| Cardio |
-
x-ray w/report
-
CT- scan w/report
-
Last office notes
-
EKG
-
Chest x-ray w/report
-
Cardiac cath w/report
-
Hx and Physical from primary clinic
-
Last labs
|
|
Any outside test dealing with Cardio. |
Back to Physicians Referral
|
Information Needed Prior to Patient Being Seen
|
Attending |
|
Dermatology |
-
Referral listing location of rash, lesion, tumor, etc.,
-
Length of time problem has existed
-
What medications patient has used or was prescribed
|
Dr. Walters |
|
Back to Physicians Referral
|
Information Needed Prior to Patient Being Seen
|
|
|
GI/Hep C |
-
Previous labs – especially (anemia)
-
Ultrasound/CT results
-
Please inform the patient that they are being scheduled for further evaluation. If any procedures are necessary they will be scheduled at a later date.
-
Previous notes etc.,
-
Barnum enema/previous colonscopy results
-
BMP
-
LFT's
-
Genotype
-
HCV RNa Quant PCR (test number per Quest 35645)
|
|
|
Back to Physicians Referral
|
Information Needed Prior to Patient Being Seen
|
|
|
Neurology |
-
PCP History & Physical
-
All labs test results
-
All x-ray results
|
|
|
Back to Physicians Referral
Department
|
Information Needed Prior to Patient Being Seen
|
|
|
|
-
Previous reports and x-rays
-
Blood work if any (rheumatoid arthritis)
-
MRI
-
If noted in notes MVA/workers comp (where person was injured)
-
Tests 6 mos - year
-
Previous notes
|
|
|
Back to Physicians Referral

|
|