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Submit a Referral


Referral Portal

Vascular Solutions welcomes new referrals
Easy, Fast & Efficient. Click... Click... Done!
Next-generation referral processing has arrived




Four EasyWays To Submit a Referral:

1. Click here to enter an Online Referral Form:


2. Click here to set up access to Phreesia Portal:*



3. Click here to submit Referral Request Form via Email:


4. Submit Referral Request Form via Fax:


*About Phreesia:

  • Phreesia allows you to directly connect with Vascular Solutions (& multiple other practices in Charlotte):
    • Easily submit referrals
    • Attach supporting documentation
    • Receive live referral status updates
    • Avoid phone calls (forget being "on hold")
    • HIPAA compliant

To set up Phreesia: click the button in section 2 above


Click here to download a blank Referral Request Form (PDF):


Vascular Solutions
7800 Providence Road, Suite 209
Charlotte, NC 28226
Phone: 704-544-7535
Fax: 704-544-7570


8:30 am - 5:00 pm
8:30 am - 5:00 pm
8:30 am - 5:00 pm
8:30 am - 5:00 pm
Hours Vary