Referring Providers
Our practice accepts patients based on provider referral only.
If you have a patient to refer, please contact our office at (518) 458-1390. Our intake staff will be happy to take the patient information and advise what specific medical records are required for review. Our fax number is (518) 694-8872.
Our providers will review the records, and our staff will contact the patient with an appropriate appointment.
Based on the reason for referral, we will need the following records:
All new patients: most recent office note, patient demographics, copy of insurance card
Pelvic Mass/Ovarian Cyst/Ovarian Cancer
- Recent Imaging - Ultrasound, CT Scan, MRI
- Recent CA125
- Omental Biopsy/Paracentesis results
Cervical Cancer
- Recent Pap/HPV
- Cervical Biopsy results
- Recent imaging if available
Cervical Dysplasia/CIN/Abnormal Pap
- Last three Pap/HPV results
- Cervical Biopsy results, if performed
- LEEP/Cone Biopsy Operative report and Pathology, if performed
Endometrial Cancer/Hyperplasia/Fibroids
- Endometrial Biopsy
- Recent Ultrasound
- Recent Pap
- D&C Operative Report and pathology if performed
VAIN/Vaginal Cancer or Mass
- Vaginal Biopsy Results
- Most recent Pap/HPV
VIN/Vulvar Cancer or Mass/Lichen Sclerosis
- Vulvar Biopsy Results
- Most recent Pap/HPV
BRCA/Family or Personal History Cancer
- Genetic testing results