Referring Physicians -全球赌博十大网站

Christie Clinic Vein & Vascular Center is dedicated to the care and treatment of patients with vascular diseases and conditions. We take pride in providing quality care in a compassionate, patient-centered environment using the latest in state-of-the-art technology. You can feel confident about referring your patients with vascular concerns to us.

Physician Referral

Patient Full Name

Patient Phone Number

Referring Provider

Office Phone

Office Fax

Referring Provider Email

Requested By (Name)

Reason for Referral

Preferred Appointment Day/Time/Location

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Resources

Physician Referral