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Rapid Referral Form / Refer a Patient

When it comes to treating vascular conditions, only the best treatment and care will do for your patients. From vascular surgery to dialysis access, the Vascular & Interventional Pavilion defines “excellence” in managing your patient’s vascular health. Rest assured your patients will be given the same level of care we would extend to our own families.

For your convenience, please use our downloadable Patient Referral Request Forms or complete the secure interactive referral forms below. If you would like to discuss a particular patient before referring them to us, please do not hesitate to call.

Download Forms:

Contact Information

Tampa- Phone: (813) 513-3030 Fax: (855) 861-0819

Lakeland- Phone: (863) 577-8346 Fax: (855) 861-0819

Riverview- Phone: (813) 559-0440 Fax: (855) 861-0819