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Refer a Patient

Hamilton Vascular is your premier center for the treatment of vein disease, artery disease, feminine conditions, and interventional radiology. With five convenient locations, our expert medical specialists and highly-trained staff members are proud to offer cutting-edge surgical and non-surgical vascular and arterial treatments to residents of Houston, Austin, San Antonio, and the neighboring communities in southern Texas.

How do I Refer a Patient?

There are four ways to refer a patient:

  1. Submit the form below.
  2. Download the Patient Referral Form and email it to
  3. Print the form and fax it to 281-565-0033.
  4. Submit the form in your EMR system.

With your submission, we ask you please include the demographics, insurance information, patient history, a physical and most recent note, and prior test results including an ABI report if available.

Hamilton Physician Referral Form

    Patient's Name

  • Is this a STAT issue (DVT, Critical Limb Ischemia, Lower Extremity Wound/Gangrene)? If so, please call us at 281-565-0033 for immediate scheduling.
  • Physician Name

  • Office Contact



The doctors and expert medical team at Hamilton Vascular are proud to offer surgical and non-surgical treatments for vein disease, artery disease, and feminine conditions. We are proud to offer a wide range of services to patients in Houston, Austin, San Antonio, and the neighboring communities in southern Texas. Contact us to schedule your private consultation with one of our vascular specialists today.