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      • Anemia
        • Other Names for Anemia
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        • Clinical Trials
      • Antiphospholipid Antibody Syndrome
        • Other Names for Antiphospholipid
        • Who is at Risk for Antiphospholipid Antibody Syndrome?
        • What are the Signs and Symptoms of Antiphospholipid Antibody Syndrome?
        • How is Antiphospholipid Antibody Syndrome Diagnosed?
        • How is Antiphospholipid Antibody Syndrome Treated?
        • Living with Antiphospholipid Antibody Syndrome
      • Aplastic Anemia
        • What Causes Aplastic Anemia?
        • Who is at Risk for Aplastic Anemia?
        • What are the Signs and Symptoms of Aplastic Anemia?
        • How is Aplastic Anemia Diagnosed?
        • How is Aplastic Anemia Treated?
        • Living with Aplastic Anemia
      • Deep Vein Thrombosis
        • Other Names for Deep Vein Thrombosis
        • What Causes Deep Vein Thrombosis?
        • Screening and Prevention of Deep Vein Thrombosis
        • Who is at Risk for Deep Vein Thrombosis?
        • Signs, Symptoms, and Complications of Deep Vein Thrombosis?
        • Diagnosing Deep Vein Thrombosis?
        • Treating Deep Vein Thrombosis
        • Living with Deep Vein Thrombosis
      • Disseminated Intravascular Coagulation
        • How is Disseminated Intravascular Coagulation Diagnosed?
        • Other Names for Disseminated Intravascular Coagulation
        • What Causes Disseminated Intravascular Coagulation?
        • Who is at Risk for Disseminated Intravascular Coagulation?
        • What Are the Signs and Symptoms of Disseminated Intravascular Coagulation?
        • How is Disseminated Intravascular Coagulation Treated?
        • Living With Disseminated Intravascular Coagulation
      • Fanconi Anemia
        • What Causes Fanconi Anemia?
        • Who is at Risk for Fanconi Anemia?
        • What are the signs and Symptoms of Fanconi Anemia?
        • How is Fanconi Anemia Diagnosed?
        • How is Fanconi Anemia Treated?
        • How Can Fanconi Anemia Be Prevented?
        • Living With Fanconi Anemia
      • Hemochromatosis
        • Other Names for Hemochromatosis
        • What Causes Hemochromatosis?
        • Who is at Risk for Hemochromatosis?
        • What are the Signs and Symptoms of Hemochromatosis?
        • How is Hemochromatosis Diagnosed?
        • How is Hemochromatosis Treated?
        • How Can Hemochromatosis Be Prevented?
        • Living With Hemochromatosis
      • Hemolytic Anemia
        • Other Names for Hemolytic Anemia
        • Types of Hemolytic Anemia
        • What Causes Hemolytic Anemia?
        • Who is at Risk for Hemolytic Anemia?
        • What Are the Signs and Symptoms of Hemolytic Anemia?
        • How is Hemolytic Anemia Diagnosed?
        • How is Hemolytic Anemia Treated?
        • How Can Hemolytic Anemia Be Prevented?
        • Living With Hemolytic Anemia
      • Hemophilia
        • Other Names for Hemophilia
        • What Causes Hemophilia?
        • What Are the Signs and Symptoms of Hemophilia?
        • How is Hemophilia Diagnosed?
        • How is Hemophilia Treated?
        • Living With Hemophilia
      • Immune Thrombocytopenia
        • Other Names for Immune Thrombocytopenia
        • What Causes Immune Thrombocytopenia?
        • Who is at Risk for Immune Thrombocytopenia?
        • What Are the Signs and Symptoms of Immune Thrombocytopenia?
        • Screening for Immune Thrombocytopenia
        • Diagnosing Immune Thrombocytopenia
        • Treating Immune Thrombocytopenia
        • Living with Immune Thrombocytopenia
      • Iron-Deficiency Anemia
        • What Causes Iron-Deficiency Anemia?
        • Who is at Risk of Iron-Deficiency Anemia?
        • What are the Symptoms of Iron Deficiency?
        • How is Iron-Deficiency Anemia Diagnosed?
        • How is Iron-Deficiency Anemia Treated?
        • Living with Iron-Deficiency Anemia
        • Can Iron-Deficiency Anemia Be Prevented?
      • Pernicious Anemia
        • Other Names for Pernicious Anemia
        • How is Pernicious Anemia Diagnosed?
        • What Causes Pernicious Anemia?
        • What are the Risk Factors for Pernicious Anemia?
        • Screening and Prevention of Pernicious Anemia
        • Signs, Symptoms, and Complications of Pernicious Anemia
        • How is Pernicious Anemia Treated?
        • Living With Pernicious Anemia
      • Polycythemia Vera
        • Other Names for Polycythemia Vera?
        • What Causes Polycythemia Vera?
        • Risk Factors of Polycythemia Vera
        • Screening and Prevention of Polycythemia Vera
        • Signs, Symptoms, and Complications of Polycythemia Vera
        • How is Polycythemia Vera Diagnosed?
        • How is Polycythemia Vera Treated?
        • Living with Polycythemia Vera
      • Pulmonary Embolism
        • What Causes Pulmonary Embolism?
        • Risk Factors of Pulmonary Embolism
        • Screening and Prevention of Pulmonary Embolism ?
        • Signs, Symptoms, and Complications of Pulmonary Embolism
        • How is Pulmonary Embolism Diagnosed?
        • How is Pulmonary Embolism Treated?
        • Living with Pulmonary Embolism
      • Sickle Cell Disease
        • Overview of Sickle Cell Disease
        • Signs and Symptoms of Sickle Cell Disease
        • Sickle Cell Disease Outlook
        • Other Names for Sickle Cell Disease?
        • What Causes Sickle Cell Disease?
        • Who is at Risk for Sickle Cell Disease?
        • Screening and Prevention of Sickle Cell Disease
        • Diagnosing Sickle Cell Disease
        • Treating Sickle Cell Disease
        • Living with Sickle Cell Disease
      • Thalassemias
        • Other Names for Thalassemias
        • Treatment of Thalassemias
        • What Causes Thalassemias?
        • Risk Factors of Thalassemias
        • Screening and Prevention of Thalassemias
        • Signs, Symptoms, and Complications of Thalassemias
        • Diagnosing Thalassemias
        • Living with Thalassemias
      • Thrombocythemia and Thrombocytosis
        • Other Names for Thrombocythemia and Thrombocytosis
        • What Causes Thrombocythemia and Thrombocytosis?
        • Screening and Prevention of Thrombocythemia and Thrombocytosis
        • What are the Risk Factors in Thrombocythemia and Thrombocytosis?
        • Diagnosing Thrombocythemia and Thrombocytosis
        • Signs, Symptoms, and Complications of Thrombocythemia and Thrombocytosis
        • Living with Thrombocythemia and Thrombocytosis
        • Treatment of Thrombocythemia and Thrombocytosis
      • Thrombocytopenia
        • What Causes Thrombocytopenia?
        • Diagnosing Thrombocytopenia
        • Risk Factors of Thrombocytopenia
        • Screening and Prevention of Thrombocytopenia
        • Signs, Symptoms, and Complications of Thrombocytopenia
        • Treatment of Thrombocytopenia
        • Living With Thrombocytopenia
      • Thrombotic Thrombocytopenic Purpura
        • Other Names for Thrombotic Thrombocytopenic Purpura
        • What Causes Thrombotic Thrombocytopenic Purpura?
        • What are the Risk Factors with Thrombotic Thrombocytopenic Purpura?
        • Screening and Prevention of Thrombotic Thrombocytopenic Purpura
        • Signs, Symptoms, and Complications of Thrombotic Thrombocytopenic Purpura
        • Diagnosing Thrombotic Thrombocytopenic Purpura
        • Treatment of Thrombotic Thrombocytopenic Purpura
        • Living with Thrombotic Thrombocytopenic Purpura
      • Von Willebrand Disease
        • What Causes Von Willebrand Disease?
        • Signs, Symptoms, and Complications of Von Willebrand Disease
        • Diagnosing Von Willebrand Disease
        • Treatment of Von Willebrand Disease
        • Living with Von Willebrand Disease
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Hematology-Oncology Associates of CNY

  • News / Events
  • Patient Portal
  • Referring Physicians
  • Virtual Visits
Hematology-Oncology Associates
315.472.7504
  • About
    • Our Mission
    • Our History
    • Accreditations & Awards
    • Testimonials
  • Your Team
    • Doctors
    • Nurse Practitioners & Physician Assistants
    • Nursing
  • Our Services
    • Cancers We Treat
    • Medical Oncology
    • Radiation Oncology
    • Hematology
    • Cancer Genetics
    • Cancer Rehabilitation
    • Chronic Care Management
    • Diagnostic Services
    • Health Equity
    • Infusion Services (Non-oncology)
    • Medication Services
    • Nutrition
    • Oncology Nurse Navigation
    • Smoking Cessation
    • Social Work
    • Supportive Oncology Care
    • Survivorship
    • Wellness
  • Clinical Trials
    • Current Clinical Trials
    • FAQ
    • Meet The Team
  • Patient Resources
    • New Patient Information
    • Advance Directives
    • Billing Insurance Information
    • Blood Disorders
    • Community Resources
    • Documents and Forms
    • Medical Terms
    • Patient Advocacy
    • Patient Portal
    • Supportive Symptom Management
    • Visitor Policy
    • What is Cancer?
    • Your Rights and Protections Against Surprise Medical Bills
  • Careers
    • Openings
    • Why Become an HOA Nurse
  • Locations
    • East Syracuse, NY
    • Onondaga Hill - Syracuse, NY
    • Auburn, NY
    • Camillus, NY

Referring Physician Forms

The section below outllines the documents we would like to have from a referring office related to the patients care.  Including the documents below will ensure that patients are seen in a timeley fashion with better transition of care.  

 

Forms

Abnormal Platelets Referral Form

Abnormal WBC Referral Form

Anemia Referral Form

Bladder Kidney Renal cell Cancer Form

Bleeding Disorder Form

Brain Cancer Form

Breast Cancer Form

Cancers (not specified) Form

ColonRectal Cancer Form

DVT-PE-Hypercoagulable Form

Esophageal and Gastric Cancer Form

Head and Neck Cancer Form

High Risk Breast Cancer Form

Leukemia and CLL-CML-ALL-AML Form

Lung Cancer Form

Lymphadenopathy Form

Lymphoma Form

Miscellaneous Referral Form

 Non-Oncology Referral

Monoclonal Gammopathy MGUS Referral Form

Pancreatic Cancer Form

Prostate Cancer Form

Sarcoma Cancer Form 

Skin Cancer Form

Testicular Cancer Form

Brittonfield - East Syracuse, NY

5008 Brittonfield Parkway
East Syracuse, NY 13057

315.472.7504

Onondaga Hill - Syracuse, NY

Upstate Community Hospital
4900 Broad Road
Syracuse, NY 13215

315.472.7504

Auburn, NY

37 West Garden Street 
Suite 301
Auburn, NY 13021

315.472.7504

Wellness Center - Camillus, NY

5700 West Genesee Street
Camillus, NY 13031

315.234.HOPE

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