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