Interpretation of CT scans and biopsy specimens in patients with lung disease is often complex and difficult. National Jewish Health has a group of experienced, subspecialized radiologists and pathologists who can provide second opinion interpretations of CT scans and biopsy specimens on patients in Colorado (we cannot provide this service outside of Colorado). Examples of conditions where this may be helpful would include interstitial lung disease, lung nodules, and undiagnosed infection. Second opinions will be provided at the request of a physician.
Please send CD images and patient facesheet with insurance and contact information to:
National Jewish Health
ATTN: Radiology Clinical Coordinator
1400 Jackson St, Room A367
Denver, CO 80206
For general referrals and consults, complete the Physician Consultation Request
Other resources: Refer a patient | Order a test | Mycobacterial Referral/Consult form.
Provider First Name
Provider Last Name
Name of requesting office or facility
Office/Facility Phone Number
Office/Facility Fax Number
Provider Email Address
Patient First Name
Patient Last Name
Patient Medical Record Number (Or a unique number we can reference when we call you to discuss this case.)
Date of Birth
Have you previously contacted National Jewish Health about this Patient?
Other medical problems
Onset of symptoms and course of illness (including complicating factors)
Related lab and imaging results
Questions for National Jewish Health's consulting physician
You are provided with this notice as you have requested a consultation from a member of the faculty of National Jewish Health. National Jewish Health faculty have not seen the patient referred to in your request for consultation and are relying solely and entirely upon your report of the condition of the patient and the patient's medications. If you have any questions or are in any doubt regarding the advice provided to you regarding your patient, please contact National Jewish Health for information as to how your patient may be evaluated by National Jewish Health faculty.
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Please send the CD images and the patient facesheet with insurance and contact information to:
NOTE: Our system does not accept attachments. If you attempt to attach a document, the information will not be processed.
With any questions related to this form, contact Alison Sackerson 303-270-2810 email@example.com
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