Refer a patient to RJIR Vascular & Oncology

At RJIR Vascular & Oncology, we are committed to providing expert, compassionate care for every patient you refer. We appreciate your trust in our team and will ensure your patients receive the highest level of care with minimally invasive, image-guided treatments tailored to their needs.

How to Refer a Patient

Please complete the referral form and fax the following documents to our office:

  • Prescription for Procedure or Consultation
  • Insurance Cards
  • Patient Demographic Sheet
  • Medication List
  • Most Recent History & Physical (H&P)
📠 Fax: (847) 429 2440

Once we receive the referral, our team will contact the patient directly to schedule their consultation.

Upload Medical Imaging

    You can click upload button to attach Images

    Eg: X-ray, Ultrasound, CT Scan

    Simply click the upload button and attach the images to assist in the evaluation process

      We treat people, not just their illnesses 

      We are dedicated to treating people, not just illnesses, and appreciate the opportunity to care for your patients. Thank you for your referral!