Welcome to the University of the University of South Florida, College of Medicine, Division of Vascular and Endovascular Surgery.

For your convenience we have included some online forms and a map to our habourside Medical Tower location, which indicates our free valet service.

• New Patient History
• Release of Information (Records)
• Patient Disclosures/Communications Authorization (HIPAA privacy rules)
• Referred Patient Previsit Instructions
• Map

We are committed to work closely with your referring provider to aid you in the referral process. After your visit, a report of the findings will be sent to your referring provider/primary care provider and other referral sources. Where you have provided names and addresses.

• Copies of your medical records that are pertinent to your visit. These may be from you're your referring physician, primary care provider, Hospital or ER records. YOU MUST HAVE actual x-rays/CD's for all x-rays, MRI, CT, Angiogtrams or any other testing pertinent to your visit.
• A list of names, addresses, phone and fax numbers for your referring provider(s), primary care physician or any other provider you wish to receive a copy of your visit notes.
• Your Insurance card or policy
• The completed New Patient History Form (attached)
• A list of all current medications and the dosage

The above information is to reach the next generation of healthcare providers in an environment that fosters excellence in education, research, and compassionate patient care. Because we are an academic medical group, our faculty providers lead patient care teams that may include medical students, residents, fellows, and other health care providers. The providers you may encounter on your visit are as follows:

• Medical Students: Students training to become physicians through a four-year course of study for a medical degree at the USF college of Medicine.
• Residents: Physicians training for certain surgical specialty.
• Fellows: Physicians who have typically gone beyond residency training and are continuing their studies in a subspecialty area of their filed.
• Advanced Registered Nurse Practitioners (ARNP): registered nurse who is qualified through advanced training to assume some of the duties and responsabilities formerly assumed only by a physician.

As a patient, you help us educate tomorrow's health care providers while gaining access to the latest knowledge and advances of medicine. We appreciate your cooperation with our teaching efforts.

Thank you very much for choosing the University of South Florida Physicians Group and we look forward to seeing you.

Division of Vascular and Endovascular Surgery