Abdominal Pain

Diagnosis
Abdominal pain; chronic abdominal pain; abdominal pain with or without anemia or weight loss
Department
Comprehensive Pain Center; Pediatric Gastroenterology; Pediatric Surgery

1. Start the referral process:

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

2. Gather records:

For adult referrals, Comprehensive Pain Center:

  • Detailed reason for referral & what is being requested to evaluate
  • Last 3 months of chart notes
  • CT/MRI/PT/xray or ultrasound imaging results 

For Pediatric Gastroenterology:

  • Chronic abdominal pain:
    • Growth chart
    • Labs
    • Imaging
       
  • Abdominal pain with or without anemia or weight loss:
    • Growth chart
    • Labs
    • Imaging

For Pediatric Surgery:

  • Chronic abdominal pain:
    • If referral is coming from PCP, pt MUST have seen GI first
    • Any records from PCP, or referring provider
    • Any imaging or tests done for this dx
    • Any past surgical records for this dx

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