Colposcopy and Vulvoscopy Clinic Referrals

Referral Form

Indications for Referral to Colposcopy

Indications for Referral to Vulvoscopy

Vulva

  • Vulvar Intraepithelial Neoplasia (VIN)
    • LSIL
    • HSIL
  • Vulvar lesion suspicious for malignancy (please describe)

Vagina

  • Vaginal Intraepithelial Neoplasia (VAIN)
    • LSIL
    • HSIL
  • Vaginal lesion suspicious for malignancy (please describe)
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