Required Documentation for Specialty Care

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

Fax referral and documentation to 407-266-4852

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, thyroid nodules, thyroid conditions, diabetes, adrenal and pituitary disease, calcium disorders

Requested Documentation:

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

 

Fax referral and documentation to 407-882-4751

Gastroenterology

Areas of Interest: Inflammatory bowel disease (Crohn’s disease and ulcerative colitis), celiac disease, microscopic colitis and malabsorption disorders.

Requested Documentation: Please send in advance any blood work results, small bowel studies, imaging studies, endoscopy, upper endoscopy, colonoscopy and pathology reports.

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

Gynecology

Areas of interest: Minimally-invasive and robotic surgery, endometriosis, interstitial cystitis, pelvic reconstruction/urogynecology, menopause.

Requested Documentation: None required

Fax referral and documentation to 407-882-4751

Nephrology

Areas of Interest: Kidney disease, high blood pressure, kidney stones and disorders of electrolyte and mineral metabolism.

Requested Documentation: [coming soon!]

Fax referral and documentation to 407-882-4751

Orthopaedics

Areas of interest: Arthroscopic surgery of the shoulder, knee, ankle, elbow; rotator cuff repair, ACL reconstruction, nonoperative treatment of musculoskeletal injuries and prevention for pediatric to geriatric population.

Requested documentation: Any prior imaging

Fax referral and documentation to 407-882-4751

Pulmonology

Areas of Interest: Chronic lung disease, shortness of breath, chronic cough, asthma, COPD, interstitial lung disease, bronchiectasis

Requested Documentation: Please send in advance: previous radiologic studies and pulmonary function testing results.

Fax referral and documentation to 407-882-4751

Rheumatology

Areas of Interest: Rheumatoid arthritis, psoriatic arthritis, ankylosing spondylitis and non-inflammatory conditions such as osteoporosis and osteoarthritis, connective tissue diseases such as lupus, scleroderma and Sjogren’s syndrome.

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

 

 

 

Processing...
Thank you! Your subscription has been confirmed. You'll hear from us soon.
Get Updates From Your Practice!
ErrorHere