Acute Mastoiditis with Facial Weakness

Acute mastoiditis with facial weakness
Otolaryngology and Head and Neck Surgery

1. Start the referral process:

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

Adult referral form

2. Gather records:

  • Noncontrast temporal bone CT, if completed
  • Previous audiograms, if completed
  • Any chart notes and imaging related to referral

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 30, 2021