Acute Prostititis

Acute prostititis

1. Start the referral process:

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

Adult referral form

Before the appointment, make sure the following are complete:  

  • Urine Micro and Culture within 6 months
  • Scrotal US within 6 months
  • 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 17, 2021