EBN Appt Request
Offices
Patient Info
DOB
Appointment With
Any Physician
John Baron
Mario Corona
Robert Doud
Swati Patel
Samuel Wong
Bryan Wong
Terina Miller
John Mouratoff
Golaun Odabaei
Oliver Khakmahd
Denise Ricker
Rica Pagtalunan
Monte Wu
Claudia Herbei
Vikram Suri
Referring Physician
Followup within
4 weeks
ASAP
2 weeks
6 weeks
8 weeks
12 weeks
Reason For Referral
Hospital followup
AKI Evaluation
CKD Evaluation
Electrolyte Disturbance
Proteinuria
Hematuria
ESRD Needs HD
Fluid Overload
Transplant Eval
Kidney Stones
