Referral Form
SS VASCULAR

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SS Vascular offers comprehensive, state-of-the-art vascular diagnosis and cutting-edge, minimally invasive treatments.
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4 Convenient Locations
Escondido Location

SS Vascular : Escondido

1045 E Pennsylvania Ave.
Escondido, CA 9 2025
760-884-4500

Chula Vista Location
SS Vascular : Chula Vista 1111 Broadway, Ste 305 Chula Vista, CA 91911
619-567-7007
San Diego Location
SS Vascular : San Diego 6719 Alvarado Rd, Ste 303 San Diego, CA 92120
619-500-7699
Imperial Location

SS Vascular : El Centro
2433 Marshall Ave, Suite 1 Imperial, CA 92251
760-406-4402

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Escondido Location

760-884-4500

Chula Vista Location

619-567-7007

San Diego Location

619-500-7699

Imperial Location

760-406-4402

Vascular Surgery Referral Form

PDF Referral Form

Patient Information

Patient Insurance Information

Reason For Consultation

Referring Physician Information