Acetabulum Fracture

Acetabulum fracture
Orthopaedics and Rehabilitation

1. Start the referral process:

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

Adult referral form

2. Gather records:

  • If recent X-rays exist please send:
    • Hip - 2 view AP & LAT hip
    • 1 view AP pelvis  (If x-rays are older than 6 weeks, needs new x-rays in clinic. This includes OHSU x-rays. Exception: amputatees.)

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 17, 2021