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Refer a Patient

When you refer a patient to OhioHealth Heart & Vascular Physicians, your patients receive a level of cardiovascular care you can depend on.

Being part of the OhioHealth network of healthcare professionals, we have greater access to healthcare resources and patient care synergies that will allow us to continue to provide your referrals the highest level of heart and vascular care.

Appointments and Referrals

Referring your patients to OhioHealth Heart & Vascular Physicians is a fast, easy process. Just download the appropriate Patient Referral Form below, fill it out and fax it to the appropriate heart and vascular practice location.

You are also welcome to contact our appointment lines directly.

Referral Forms By Location

Our referral forms are listed below.

OhioHealth Heart, Lung and Vascular Surgeons 
Please use this referral form for the following locations:

  • 5131 Beacon Hill, Suite 100, Columbus, OH 43228 (Dr. Levy)
  • 3525 Olentangy River Road, Suite 5300, Columbus, OH 43214
  • 285 East State Street, Suite 400, Columbus, OH 43215

OhioHealth Heart, Lung & Vascular Surgeons (Marion Medical Campus)
Please use this referral form for the following location:

  • 1050 Delaware Avenue, Marion, OH 43302

OhioHealth Heart & Vascular Surgeons
Please use this referral form for the following locations:

  • 5131 Beacon Hill, Suite 100, Columbus, OH 43228 (Drs. Brightwell and Pugar)
  • 285 East State Street, Suite 260, Columbus, OH 43215
  • 260 Polaris Parkway, Westerville, OH 43081
  • 1010 Refugee Road, Suite 310, Pickerington, OH 43147

OhioHealth Heart & Vascular Physicians (Central Ohio)
Please use this referral form for the following locations:

  • 3705 Olentangy River Road, Suite 100, Columbus, OH 43214
  • Cornwell Center - 65 Hospital Drive, Athens, OH 45701
  • 600 North Pickaway Street, Suite, Circleville, OH 43113
  • 260 Polaris Parkway, Westerville, OH 43082
  • 551 West Central Avenue, Suite 204, Delaware, OH 43015
  • Dublin Methodist Hospital - 7500 Hospital Drive, Dublin, OH 43016
  • Meigs Clinic - 113 East Memorial Drive, Pomeroy, OH 45769
  • Mansfield Hospital - 335 Glessner Avenue, Mansfield, OH 44903
  • Mary Rutan Hospital - 205 Palmer Road, Bellefontaine, OH 43311
  • Smith Clinic - 1040 Delaware Avenue, Marion, OH 43302
  • 1051 Harding Memorial Parkway, Suite A, Marion, OH 43302
  • 651 West Marion Road, Mt. Gilead, OH 43338
  • 765 North Hamilton Road, Suite 120, Gahanna, OH 43230
  • 2014 Baltimore-Reynoldsburg Road, Reynoldsburg, OH 43068
  • 262 Neil Avenue, Columbus, OH 43215
  • 6024 Hoover Road, Suite G, Grove City, OH 43123
  • 19925 Lithopolis Road, Canal Winchester, OH 43110
  • 1523 Walnut Street, Suite #1, Coshocton, OH 43812
  • 1509 Stone Creek Drive South, Pickerington, OH 43147
  • 600 North Pickaway Street, Suite 102, Circleville, OH 43113
  • Samaritan Regional Health System - 1025 Center Street, Ashland, OH 44805
  • 6670 Perimeter Drive, Suite 140, Dublin, OH 43016
  • 171 Morey Drive, Suite C, Marysville, OH 43040
  • 6024 Hoover Road, Suite G, Grove City, OH 43123
  • 1076 Eagleton Blvd., London, OH 43140
  • 551 West Central Avenue, Suite 204, Delaware, OH 43015
  • 801 OhioHealth Blvd, Suite 160, Delaware, OH 43015

OhioHealth Heart & Vascular Physicians (North Central Region)
Please use this referral form for the following locations:

  • 199 West Main Street, 3rd Floor, Shelby OH 44875
  • Samaritan Regional Health System - 1025 Center Street 2nd Floor, Ashland, OH 44805
  • Crawford Health Center - 1820 East Mansfield Street, Bucyrus, OH 44820
  • 725 North Sandusky Street, Bucyrus, OH 44820
  • Morrow County Hospital at The Cardinal Center - 73 Sportsman Drive, Marengo, OH 43334
  • Morrow County Hospital - 651 West Marion Road, Mt. Gilead, OH 43388
  • Hardin Memorial Hospital - 75 Washington Blvd., Suite 104, Kenton, OH 43326

OhioHealth Heart & Vascular Physicians (Marion Campus)
Please use this referral form for the following location:

  • 1050 Delaware Avenue, Marion, OH  43302

Ordering Diagnostic Information

If you'd like to order a diagnostic test, please contact the OhioHealth Heart & Vascular Physicians location where the test is offered. We'll handle the scheduling, accommodate the testing and return the results to you quickly and accurately. 

If results are life threatening or time sensitive, one of our cardiac physicians will call you immediately so you can advise your patient of any necessary next steps.