Abnormal ECG (Abnormal EKG; Abnormal Electrocardiogram)

Diagnosis
Abnormal ECG (Abnormal EKG; Abnormal electrocardiogram)
Department
Cardiology; Pediatric Cardiology

1. Start the referral process:

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

2. Gather records:

For adult referrals, Cardiology:

  • ECG tracings in addition to reports
  • Echo reports
  • Echo images
  • Previous cardiac work-up
  • ECG+ additional testing pending medical review

For Pediatric Cardiology:

  • Image(Strip) of abnormal ECG
  • Any recent chart notes including chest x-ray reports 

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