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Refer a patient

Leg ulcer clinic referral form - Rochester

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(i.e., Plastic, vascular, general surgery, dermatology)
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(i.e., swab results/sinogram/doppler/arteriogram/duplex scan)
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You will see a thank you page once the form has been submitted. If you do not see this page then you have overlooked to complete some of the required fields. Please check the form, complete the missing details and resubmit. Thank you.

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