Vascular Disease Referral Pad
Use this form for PAD, venous disease, wound concerns, leg pain, and other vascular evaluations.

For Providers
Outpatient interventional radiology for your patients in Northeast Florida.
Minimally Invasive Vascular partners with primary care physicians, OB-GYNs, gastroenterologists, orthopedic surgeons, cardiologists, podiatrists, and other specialists throughout Northeast Florida.
We are committed to keeping your patients close to home, communicating clearly throughout the care episode, and returning them to your practice with a detailed treatment summary.

Download and complete the appropriate referral pad, then send it with available clinical notes, demographics, insurance information, and relevant imaging or lab reports.
Use this form for PAD, venous disease, wound concerns, leg pain, and other vascular evaluations.
Use this form for dialysis access and dialysis-related vascular referrals.
Appropriate referrals from orthopedics, primary care, sports medicine, and rheumatology. GAE is indicated for moderate-to-severe knee pain from confirmed osteoarthritis after conservative care falls short.
Appropriate referrals from primary care, cardiology, podiatry, endocrinology, and wound care. Dr. Chong performs PTA, stenting, and atherectomy for symptomatic PAD, including claudication, rest pain, and non-healing lower extremity wounds. Urgent consultation is available for critical limb-threatening ischemia. ABI testing is available in office.
Appropriate referrals from nephrology, dialysis centers, vascular access teams, and primary care for fistula or graft concerns, difficult access, access maintenance, and related vascular evaluation.
We evaluate and treat symptomatic varicose veins, chronic venous insufficiency, and venous ulcers with in-office venous duplex ultrasound.

Dr. Kok L. Chong is double-boarded in Diagnostic Radiology and Interventional Radiology and holds a Certificate of Added Qualifications (CAQ) in Interventional Radiology from the American Board of Radiology.
He completed his Vascular and Interventional Radiology fellowship at Indiana University Medical Center and has been in full-time outpatient interventional practice since 2011.
4225 Southpoint Pkwy, Jacksonville, FL 32216. Phone: 904-320-0680.
2720 US-1 Ste C, St. Augustine, FL 32086. Phone: 904-320-0680.
Referrals can be submitted by phone or through the contact form on our website. Please include the working diagnosis, relevant imaging reports, and the patient's contact information.
Our staff will contact the patient within one business day to schedule a consultation.