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Surgeon Referral Portal

Submit a secure referral for preoperative evaluation and optimization support.

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Who This Is For?

This portal is intended for surgeons and surgical teams and or facilities requesting preoperative medical evaluation and optimization support for their patients.

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What Happens Next?

  1. Surgeon submits referral securely

  2. PTE reviews records and intake

  3. Telehealth evaluation completed

  4. Structured report returned within 24–48 hours

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Click on Secure referral portal for surgeons requesting perioperative telehealth evaluations and complete the HIPAA-compliant secure form

Perioperative Health Systems

SURGI-REQS™ — From requirements to readiness.

Entering pre-pilot validation and institutional engagement.

© 2026 Perioperative Telehealth Evaluations, LLC. All rights reserved.
SURGI-REQS™ is a trademark of Perioperative Telehealth Evaluations, LLC

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