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Oncology Clinic

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Seton Infusion Center
A department of DSMC-UT

Oncology Criteria

Scope

  • To evaluate and treat patients who have been diagnosed with cancer or treated for cancer.

Appropriate patients for referral include:

  • Newly diagnosed cancers
  • Recurrent cancers
  • Patients receiving treatment for cancer
  • Patients needing follow-up for previously treated cancer

Do NOT refer the following patients:

  • Patients suspicious for malignancy but no biopsy (pathology) confirming cancer.

Biopsy Exception: Suspected Hepatocellular Carcinoma can be seen without a biopsy if liver imaging is diagnostic of HCC

  • Thyroid cancer that has not spread (non-metastatic)
  • Prostate cancer that has not spread
  • Kidney cancer that has not spread
  • Skin Cancer (except metastatic melanoma)

Documentation required for scheduling all appointments:

  • Current medication list and co-morbidities or problem list
  • Two most recent provider notes describing condition for which patient is being referred
  • Original pathology report confirming tissue diagnosis
  • If previously treated for cancer diagnosis, all oncology notes and treatment records (chemotherapy flow sheets, operative notes)
  • If recurrence suspected, send supporting documentation (radiology, biopsies, pathology)

Additional information needed related to cancer (IF APPLICABLE)

  • Notes from all consultants (inpatient and outpatient)
  • All operative reports
  • Diagnostic procedure reports (endoscopy, bronchoscopy)
  • All radiology reports

Rev. 11/2018

Have questions or comments about the specialty referral guidelines? Submit them here.