Referring Physicians

Thank you for Choosing the Mary Parkes Asthma Center

As you know, making a firm diagnosis requires a great deal of information. You may have already completed some of the testing needed for this evaluation. In an effort to minimize duplicate testing, we ask that you complete and forward the form below when you make your referral.

Pulmonary Hypertension

Please complete and fax our Pulmonary Hypertension Form along with copies of the reports requested to (585) 486-0947. On this form, please indicate if you are sending the information and please mark ND if the test has not yet been done.

For additional questions pelase call (585) 486-0869.

Forms

Pulmonary Hypertension Form

Asthma/Allergy

Thank you for referring your patient for an asthma/allergy evaluation. Please be sure there is an updated health insurance referral (if required) in the system prior to making the appointment. The latest medical information including reason for this consult, pulmonary function testing, imaging studies and past medical history as well as current medication plan. The information should be faxed to our office at (585) 486-0673 at least one week before the scheduled appointment.

We look forward to serving you, your patients and their families.

Pulmonary

Thank you for referring your patient for a pulmonary evaluation. Please be sure there is an updated health insurance referral (if required) in the system prior to making the appointment. The latest medical information including reason for this consult, previous pulmonary function testing, sleep studies, imaging studies, past medical history as well as current medication plan. The information should be faxed to our office at (585) 486-0673 at least one week before the scheduled appointment.

We look forward to serving you, your patients and their families.

Forms

Pulmonary Function Testing and Methacholine Order Sheet

Best Regional Hospitals, U.S. News & World Report: Pulmonology 2013-14

Contact Us

Mary Parkes Asthma Center
400 Red Creek Drive
Suite 110
Rochester, NY 14623

Schedule an appointment at
(585) 486-0147

MyChart

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