1. Start the referral process:
Use your own referral form or notes* or download our form:
2. Gather records:
- Previous 3 months of Progress notes
- MRI, MRA, or CT within last 3 years, push image to OHSU PACS and include report push reports to and include report
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
|Date Revised||May 17, 2021|
Refer a patient
- Fax your referral to 503-346-6854.
- For help or to arrange provider-to-provider advice, call 503-494-4567 , option 4.