Interventional Radiology Clinic
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Self Referral Forms
Some patient types may self-refer for consultation appointments. Please call us if you're unsure if a physician referral is required.
Interventional Radiology Patient Care Coordinator
300 Pasteur Drive, Rm H3600
Stanford, CA 94305
Phone: (650) 736-9081
Fax: (650) 725-0533 or (650) 736-7734
We offer outpatient consultations in the following areas:
- Peripheral vascular disease (extremities, carotids, renals, mesenterics, abdominal and thoracic aneurysms)
- Deep venous thrombosis (catheter-directed thrombolysis, temporary IVC filters)
- Interventional oncology (yttrium radioembolization, RF ablation, chemoembolization)
- Varicose veins (laser endovenous ablation)
- Uterine fibroid embolization
- Arteriovenous malformations
- Portal hypertension (TIPS, varix embolization)
- Varicocele embolization
- Pelvic congestion syndrome treatment
Please have the following at the visit:
- Insurance card
- Name, address and telephone number of your referring physician, primary care provider, and any other doctors you would like us to stay in contact with regarding you care from Stanford Interventional Radiology. Please also bring these with to you appointment.
- If you have had imaging studies (CT, MRI, ultrasound, PET scan) at another facility, please have available what imaging study was done, where, and their contact information. We will help instruct you or that facility how to send us the actual images (usually a CD) as well as the radiologist's report. It is important that we get the images in advance so we have an opportunity to review them and give you as much time in your clinic visit as we can.
- If you have had lab tests at another hospital, please ask them to fax us a copy of the results.
After you are scheduled:
- You will be emailed or mailed a confirmation package that includes the time and location of your appointment, maps, a medical history form, and any patient education pertinent to your visit.
- **If you have been asked to watch a video, it is VERY important that you watch this before your appointment. The educational videos we have to offer are also available here.
- An initial consultation typically takes 60 - 90 minutes. If you have multiple doctor appointments scheduled for the same day, please allow yourself enough time between appointments, so that we can provide you with the best care possible.
- In order to maximize consultation time with the physician, we will mail or email a medical questionnaire to you prior to your visit. Please answer the questions to your best ability and bring the form with you for your clinic visit.
- Our Interventional Radiology clinic is busy. Please be considerate to our other patients by arriving on time. Should you need to cancel for any reasons, please do so at least 24 hours prior to the appointment.
