EBN Appt Request
Offices
Patient Info
DOB
Appointment With
Donald Block
Mario Corona
Robert Doud
Swati Patel
Samuel Wong
Veena Manjunath
Bryan Wong
Terina Miller
Josie Tebben
Golaun Odabaei
Oliver Khakmahd
Ellen Morrissey
Denise Ricker
Rica Pagtalunan
Monte Wu
Katherine Rausa
Terry Maher
Claudia Herbei
Alexis Chettiar
Referring Physician
Followup within
4 weeks
ASAP
2 weeks
6 weeks
8 weeks
12 weeks
Reason For Referral
Hospital followup
AKI Evaluation
CKD Evaluation
Proteinuria
Hematuria
ESRD Needs HD
Fluid Overload
Transplant Eval
Kidney Stones
