Abscess of Shaft of Penis

Diagnosis
Abscess of shaft of penis
Department
Urology; Pediatric Urology

1. Start the referral process:

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

    2. Gather records:

    For adult referrals, Urology:

    • Records from all providers previously treating Dx

    For Pediatric Urology:

    • Chart notes

    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 June 15, 2021