Majority of appointments at Mana Vascular Clinic require referrals & medical records, with the exception of a few conditions. Please read below to learn which appointments require referrals and medical records. If needed, click the link at the bottom of this page to download the Referral Form.

Referrals

Please call if you have any questions (623)292-2272.


Appointments that require referrals & medical records:

  • Patients with HMO health plans

  • Medicaid patients

  • Abdominal Aortic Aneurysm (AAA)

  • Carotid Stenosis

  • Deep Vein Thrombosis (DVT)

  • Peripheral Vascular Disease

  • Fistula/ graft placement

  • Varicose veins (had previous treatments elsewhere)

  • Patients wanting a second opinion

Appointments that do NOT require medical records:

  • Varicose veins (not previously treated)

  • Edema

  • Ulceration


Click the button below to download the referral form: