Clinical summary
Reason for referral, relevant history and the question the referring professional would like AREOLA to address.
Professional Resources
Refer a patient to AREOLA.
Build a referral checklist, identify a preferred center and review how the National Referral Center coordinates intake.
Referral preparation
Use this checklist before contacting the National Referral Center. Patient records are transferred only through the intake process described by the receiving center.
Referral summary
Replacement consultation
National Referral Center will identify an appropriate location.
- Materials available
- 0 of 5
- Next step
- Contact National Referral Center
Referral information
Useful records, without delaying the first conversation.
AREOLA can begin intake with partial information and help identify what is relevant to a structured specialty review.
Prior procedure records
Available operative, revision or device records relevant to the requested consultation.
Current imaging or photography
Only when already available and appropriate; AREOLA does not require patients to create new materials before review.
Medication and allergy list
A current list for clinical review when the patient enters an AREOLA care pathway.
Patient contact and preferences
Preferred center, communication method, language needs and travel considerations.
Patient Services
Speak with the National Referral Center.
Call 334-209-7090 for referral routing, record-transfer questions or clinician access.