Abnormal Semen Analysis

Diagnosis
Abnormal semen analysis
Department
Urology

1. Start the referral process:

Use your own referral form or notes* or download our form:

Adult referral form

    2. Gather records:

    • Records from all providers previously treating 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
    Date Revised February 16, 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.