Diabetes Mellitus, Type 1

Diagnosis
Diabetes mellitus, type 1
Department
Endocrinology and Diabetes; Pediatric Endocrinology

1. Start the referral process:

Use your own referral form or notes* or download one of our forms:

2. Gather records:

For adult referrals, Endocrinology and Diabetes: 

  • Recent chart notes related to diagnosis
  • Labs supporting diagnosis
  • A1-C
  • TSH
  • Celiac test
  • CBG’s
  • Micro albumin
  • Chemistry Profile
  • Lipids

For Pediatric Endocrinology:

  • No records required

3. Fax the referral and all records to 503-346-6854.

* Referral notes or forms should include:

  • Patient name, date of birth, sex, address and phone number
  • Referring provider’s name, address and phone number
  • Diagnosis or reason for referral
  • Department patient is being referred to
  • Most recent chart notes supporting the diagnosis or reason for referral

For help or to arrange provider-to-provider advice, call 503-494-4567.

Date Revised May 16, 2022