Patient Referral

The Vascular Institute of Kentucky believes in the ease of patient referral. To refer a patient, please print and complete the Patient Referral Form and fax to us at (606) 327-5649 along with all relevant documents. We will schedule an appointment for your patient at the next available date. Thank you for your referral.

Call to schedule a consultation:
Tel: (606) 327-1070
Fax: (606) 327-1071

Vascular Institute of Kentucky
Medical Plaza A
617 23rd Street, Suite 445
Ashland, KY  41101

Hours of Operation:
9 am – 5 pm, Monday - Friday

Click here for Patient Referral Form in Microsoft Word

Click here for Patient Referral Form in Adobe PDF

Copyright 2010 Vascular Institute of Kentucky, PSC.