VAD Referral Checklist

When referring patients to the VAD Implantation Program at UPMC, please call our 24-hour physician referral line at
1-866-884-8579 and include the information listed below.

Demographic Summary

  • Patient name
  • Patient date of birth
  • Patient phone number
  • Patient social security number

Insurance Information

  • Name of subscriber
  • Subscriber’s phone number
  • Identification number
  • Group number

Clinical Information

Pertinent medical records if available, including:
  • Recent H&P, or clinic note
  • Echocardiogram
  • Stress test/left heart catheterization
  • Most recent lab work

Referring Physician Information

  • Referring physician name
  • Referring physician phone and fax number

Interested in learning more about heart and vascular treatments?

Request an appointment today.

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For help in finding a doctor or health service that suits your needs, call the UPMC Referral Service at 412-647-UPMC (8762) or 1-800-533-UPMC (8762). Select option 1.

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Medical information made available on is not intended to be used as a substitute for professional medical advice, diagnosis, or treatment. You should not rely entirely on this information for your health care needs. Ask your own doctor or health care provider any specific medical questions that you have. Further, is not a tool to be used in the case of an emergency. If an emergency arises, you should seek appropriate emergency medical services.

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