University of South Alabama


Please fax all NEW patient records to our secure fax: (251) 445-2462

How to Refer Your Patient to Us

 Thank you for your referral. Below is an outline of steps in making
a referral to us.

1. Please complete Maternal-Fetal Consultation cover sheet and have the patient complete the OB Medical History form and fax/e-mail both with patient records when requesting an appointment.

2. Please fax/e-mail all patient records when you are scheduling the appointment. This ensures that your patient is scheduled in the appropriate clinic (FDC, MFM or High Risk), which is based on medical history. Be sure to include: patient OB history, original labs and all ultrasounds.

3. Give the patient a copy of each of these:

    PATIENT CHECKLIST and MAP
    INSURANCE INFORMATION 
    CONTRACT WITH PATIENT

Ask her to complete these forms and bring them with her to her first appointment with us. If you prefer, you can send the completed forms directly to us by scanning and emailing forms to obhighrisk@usouthal.edu.

4. Please advise your patient that if they are late for their appointment by 30 minutes they will be re-scheduled so we can be timely with all our patients.

Referring Physicians contact us at: (251) 415-1496.

To request ultrasounds, amnio or fetal heart tests call (251) 415-1496.

All preliminary high risk obstetrics, prenatal diagnosis (FDC), and ultrasound reports will be faxed to your office Monday-Friday. All final consult letters will follow in 10-14 days.

 

Phone calls are made on
critical cases
to your nurse
or directly to the referring doctor.

 

Text Only Options

Change the current font size: larger | default | smaller

Current color mode is Black on White, other available modes: Yellow on Black | Black on Cream

Current color mode is Yellow on Black, other available modes: Black on White | Black on Cream

Current color mode is Black on Cream, other available modes: Black on White | Yellow on Black

Open the original version of this page.