Refer a Patient

Streamlined Referrals for Coordinated Care

Thank you for choosing Orbis Vascular for your patient’s care. Please complete the form below and select the appropriate location you are referring the patient to: Almeda (Medical Center) or Clear Lake (Gemini Street).

Please Fax:
1. Patient Demographics
2. Initial/Most Recent Progress Notes
3. Relevant Imaging Reports (Ultrasound, Doppler, CT, MRI, etc)

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