WebHypertension Dyslipidemia Clinic – UAH GIM New Patient Referral Form Place patient label here Urgent appointment requested (if No, then next earliest appointment available): Yes No Division of General Internal Medicine, 5-112 Clinical Sciences Building 11350 83 Ave, Edmonton, AB., T6G 2G3 Phone: (780) 492-1554 Fax: (780) 492-7277 WebNephrology Hypertension To make a patient referral, please complete the following form and fax it to 859-257-0260. Nephrology Hypertension Referral form (PDF, 62 KB) Neurosurgery Neurosurgery Referral Form Ophthalmic Genetics Clinic Ophthalmic Genetics Clinic Referral Form (PDF, 58 KB) Glaucoma Glaucoma Referral Form (PDF, …
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Referring a patient for the pulmonary hypertension service
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