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Required Documentation for Specialty Care

Care You Trust From UCF College of Medicine Experts

Our multidisciplinary team of specialists offers comprehensive care to best manage complex conditions. If you have been referred to one of our specialists, please see detailed information below about lab work and tests that are needed before you can be scheduled with the doctor. This information will help ensure you have the best appointment possible. Please fax the required documentation to 407-882-4751.

Cardiology

Areas of Interest: Echocardiography, Cardiology Consultation

Requested Documentation: Please send in advance: Prior cardiac records (last 5 years), lipid profile (last 12 months), Diagnostic reports (echocardiograms, catheterization reports, stress test, Holter monitor, EKG) and any other imaging reports (CT/MRI).

Fax referral and documentation to 407-882-4751

Dermatology

Areas of Interest: 

Medical Dermatology

  1. General Dermatology (psoriasis, eczema, acne, warts, ring worm, nail fungus, hidradenitis supprativa,  moles, skin cancer screening)
  2. Specialty Focus- autoimmune and autoinflammatory diseases (pemphigus and pemphigoid, lupus, dermatomyositis, vasculitis, sarcoidosis, and lichen planus)

Procedural Dermatology

  1. Skin cancer treatment- Mohs micrographic surgery and excisions
  2. Cosmetics and other procedures (Botox, flillers, laser treatments)

Requested Documentation: 

Mohs Micrographic Surgery referral:

  • Pathology report
  • Contact number for patient
  • Photo or body map of biopsy site, if available

Mohs Appointments: 407-266-4871

Medical Dermatology referral:

  • Prior pathology reports
  • Prior relevant bloodwork
  • Prior Dermatology, Rheumatology or other relevant subspecialty notes

Fax referral and documentation to 407-882-4751

Endocrinology

Areas of Interest: 

Thyroid Cancer

  1. Surgical pathology
  2. Neck ultrasound
  3. Whole-body scan
  4. Thyroid labs

Thyroid Nodules

  1. Thyroid ultrasound
  2. Biopsy report  (if applicable)
  3. Thyroid labs (TSH)

Hypo/Hyperthyroid (Graves disease)

  1. Thyroid labs

Diabetes

  1. Hemoglobin A1c (within last 3 months)
  2. LDL (within 1 year)
  3. Creatinine (within 1 year)
  4. Urine microalbumin/ creatinine ratio (within 1 year)
  5. Ophthalmology Consultation Report (within 1 year)

Adrenal or Pituitary Conditions

  1. Prior labs used in diagnosis of adrenal or pituitary condition
  2. Last adrenal imaging study or last MRI of the pituitary (if applicable)

Calcium Disorders

  1. Hyper/hypocalcemia: Calcium levels, PTH level
  2. Hyperparathyroidism: Calcium level, PTH level, vitamin D level

Requested Documentation: Coming Soon

Fax referral and documentation to 407-882-4751

General Surgery

Areas of interest: 

  • Thyroid surgery
  • Parathyroid surgery
  • Gallbladder surgery (laparoscopic and open cholecystectomy)
  • Hernia repair (laparoscopic and open)
    • Inguinal, umbilical, incisional and hiatal
  • Surgery of the gastrointestinal tract (laparoscopic and open)
    • Stomach
      • Anti-reflux surgery
      • Benign and malignant gastric tumors
    • Pancreas
      • Benign and malignant neuroendocrine tumors
      • Small bowel surgery for benign and malignant conditions
  • Colon and rectum surgery
    • Benign and malignant tumors including colorectal cancer and diverticulitis
    • Surgery of the anal canal
    • Hemorrhoid disease, fissures, and fistulas
  • Surgery for benign and malignant tumors of the adrenal glands (open and laparoscopic)
  • Breast surgery for benign lesions and breast cancer
  • Splenectomy

Requested Documentation:

  • Prior operative reports
  • Prior hospitalization records reports
  • Prior surgical pathology reports
  • Bloodwork and tests relevant to the surgical condition for which referral is sought

Fax referral and documentation to 407-266-4852

Ophthalmology

Areas of Interest: Refractive cataract surgery and minimally invasive glaucoma surgery.

Requested Documentation: 

  • Last eye exam records
  • Reason for referral/diagnosis
  • Patient demographic sheet with contact and insurance information

Fax referral and documentation to 407-882-4751

 

Rheumatology

Areas of Interest:

  • Patients with abnormal labs such as very high ANA, RF, CK, Aldolase
  • Rheumatoid Arthritis
  • Ankylosing Spondylitis, Psoriatic Arthritis, Gout
  • Lupus
  • Sjogren’s Syndrome, Scleroderma, Mixed Connective Tissue Disease
  • Dermatomyositis and Polymyositis
  • Polymyalgia Rheumatica
  • Osteoporosis and Osteopenia
  • Vasculitis (many types: Wegeners, Churg-Strauss- EGPA/GPA,)
  • Sarcoidosis
  • Recurrent Uveitis that needs systemic medications

Requested Documentation:

  • Referral with diagnosis and demographics attached
  • Recent Labs (including but not limited to: ANA, RA Factor, CRP, & Sed Rate)
  • Last office note from referring provider
  • Any applicable imaging

Fax referral and documentation to 407-882-4751