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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