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Referral Form

  • Krishna Mannava, MD, FACS, RPVI

  • Evelyn Weaver, PA-C, MSPAS

6488 East Main Street, Ste 120 Reynoldsburg, OH 43068

Phone 614.729.8483

Fax 614.472.8483

How urgently does this referral need scheduled
Please Schedule Consult for
Select any requested vascular testing

**PLEASE SEND CURRENT MEDICATIONS AND MOST RECENT LABS**

This section is for dialysis access consults

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Thank you for referring your patient to Vive Vascular

680 Buckles Court North, Suite 2C Gahanna, OH 43230

P 614.729.VIVE  (8483)  

F 614.472.VIVE  (8483)

Office Hours:
Mon–Fri: 7:30am – 4:30pm
Sat–Sun: Closed
 

Learn How Vive Vascular Restores Lives

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