Scheduling Procedures & Forms


Referrals to surgeons and our specialty departments can be made by calling (541) 930-8900

Office hours are Monday – Friday, 9 a.m. to 12 p.m. and 1:30 p.m. to 5 p.m.


To schedule an appointment, you may either:


To order a diagnostic scan from our Vascular Laboratory, you may either:

  • Download and complete the Vascular Lab Order Form PDF and fax it to (541) 245-4808.
  • Call our office directly at (541) 930-8900.

Please Note:

  • A convenient Patient Appointment form is included with the Vascular Lab Order Form PDF. It is a helpful tool providing your patient with their diagnostic scan appointment time, location information, and directions.
  • Indications must be included at the time of scheduling to ensure the appropriateness of the ordered exam.

Special Requests

For any special request exams that do not fall within the standard categories, please call our scheduling department at (541) 930-8900.

Requesting Additional Forms

Additional forms can be delivered to your office by filling out the following information below. Forms will be delivered to your office within 24 hours.

    Provider Name:

    Your Name:







    Oregon Surgical Scheduling Form


    Vascular Laboratory Referral Form


    OSS Appointment Cards



    Oregon Surgical Specialists
    520 Medical Center Dr.
    Suite 300
    Medford, OR 97504

    Monday – Friday
    8 a.m. – 5 p.m.

    Vascular Laboratory Services

    Oregon Surgical Specialists Vascular Laboratory is dedicated to the non-invasive diagnosis of all vascular disorders. Our lab is accredited by the ICAVL and fully staffed by Registered Vascular Technologists (RVT) extensively trained in noninvasive vascular diagnostic technology. Exams are supervised and interpreted by our board-certified vascular surgeons who have special training in non-invasive evaluation of arterial and venous disease.

    Vascular Laboratory Diagnostic Services

    Arterial Doppler (Upper and lower extremity)

    Includes waveform analysis and segmental pressure measurement. Exercise testing included for patients with ambulatory leg pain who meet lab criteria. Positional maneuvers can be requested for suspect thoracic outlet syndrome.

    Indications: claudication, extremity ulcers, foot or hand rest pain, decreased pulses, peripheral vascular disease.

    Arterial Duplex Scan (upper or lower extremity)

    Includes duplex evaluation of extremity arteries to evaluate stenosis or aneurysm. Discussion of suspected problems with lab technologist or physician prior to scheduling is required. Arterial Doppler exam is usually more appropriate.

    Indications: Evaluation for pseudoaneurysm after arterial puncture, localization of abnormal arterial segments prior to planned intervention.

    Arterial Graft Surveillance

    Includes ankle/brachial indices (ABI’s), duplex interrogation of entire graft, inflow and outflow vessels.

    Indications: follow-up after limb revascularization.

    Abdominal Aortic Duplex Scan

    Includes duplex scan of abdominal aorta with vessel caliber/diameter as well as Doppler blood flow analysis.

    Indications: known or suspected abdominal aortic aneurysm (pulsatile abdominal mass), abdominal bruit.

    Carotic Duplex Scan

    Includes color flow and spectral Doppler analysis as well as grey scale evaluation of the extracranial carotid system and vertebral arteries.

    Indications: CVA, TIA, syncope, bruit, amaurosis fugax, retinal arterial occlusion, Hollenhorst plaque, follow-up of known carotid artery disease, post-operative surveillance.

    Mesenteric Artery Duplex Scan

    Includes duplex evaluation of the mesenteric arterial circulation, the celiac axis, common hepatic artery, splenic artery, superior and inferior mesenteric arteries and abdominal aorta.

    Indications: abdominal angina, abdominal bruit, unexplained weight loss, ischemic colitis, post-prandial pain.

    Renal Artery Duplex Scan

    Includes measurement of kidney length, duplex evaluation of entire length of renal arteries as permitted by body habitus, parenchymal arterial flow. Requires fasting state. May be limited by body habitus and/or abdominal gas.

    Indications: hypertension, small kidney, renal insufficiency, abnormal renal values, follow-up to renal artery bypass or angioplasty.

    Venous Duplex Scan (Rule out DVT)

    Includes duplex evaluation of the upper and lower extremity veins. Detects the presence and extent of venous thrombosis (deep and/or superficial). May be upper or lower extremity, bilateral or unilateral.

    Indications: Limb edema, tenderness and pain, palpable superficial clot, suspected pulmonary embolus.

    Venous Reflux Duplex Exam (venous valvular function)

    Includes color flow and spectral Doppler analysis as well as grey scale evaluation of the lower extremity veins. Multiple provocative maneuvers and positions are employed to assess venous valvular functions and extent of valvular insufficiency. Perforator vein competence is also assessed.

    Indications: varicose veins, venous stasis ulcers, stasis dermatitis, chronic limb edema.

    Vascular Laboratory Preventive Health Screening Program

    The Preventive Health Screening program has been created for those patient’s who may be at risk due to family history or lifestyle choices. The Preventive Health screenings assist patients in identifying potentially life treating conditions before they become an issue. Health screening exams are not covered by insurance. If disease is detected through the screening, the patient will receive a report to share with their physician.

    Preventive Health Screenings include:

    • Stroke Prevention
    • Aneurysm Detection
    • Extremity Circulation Disease Diagnosis (Peripheral Artery Screening)

    For more information, visit our Preventive Health Screening Program.

    Vascular Laboratory AAA Screening Medicare Benefit

    Your patients are eligible for a free one-time Abdominal Aortic Aneurysm screening as part of their “Welcome to Medicare” physical.

    Medicare recognizes the importance of vascular health and now offers a free, one-time, ultrasound screening benefit to check for an Abdominal Aortic Aneurysm (AAA). To qualify, the screening must be part of your “Welcome to Medicare Physical Exam” (which was formally called the “Initial Preventive Physical Exam,” or IPPE). The Welcome to Medicare physical must be completed within the first six months of Medicare eligibility, but there is no time limit for completion of the AAA screening.

    Please take advantage of this free AAA screening for your patients.

    Qualifying patients: The AAA screening is available to men who have smoked at least 100 cigarettes, and men and women with a family history of AAA. Nearly 200,000 people in the United States are diagnosed with AAA annually. This vascular condition can be life threatening but can be safely treated or cured with early diagnosis.

    Who orders the AAA screening ultrasound test? The provider who performs the patient’s “Welcome to Medicare Physical Exam” is the only person who can order the free AAA screening test for their patient.

    What are the billing codes for this screening? As of January 1, 2007, all ultrasound screenings for AAA should be reported using code G0389.

    What is the screening procedure? The ultrasound screening can be preformed at Oregon Surgical Specialists Vascular Laboratory.

    The Medicare AAA screening benefit became a law on February 8, 2006, as the Screening Abdominal Aortic Aneurysms Very Efficiently (SAAAVE) Act, a provision of S.1932, Deficit Reduction Act of 2005, also known as Budget Reconciliation. The law became effective January 1, 2007.