Amyloidosis

Diagnosis
Amyloidosis
Department
Cardiology

1. Start the referral process:

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

Adult referral form

2. Gather records:

  • Last 3 echocardiograms
  • Cardiac MRI
  • Cardiac Cath
  • Cardiac surgeries
  • Stress Echo
  • Reports of all biopsies done previously
  • PET scans/bone surveys
  • Pyrophosphate scan
  • Amyloid labs

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 April 09, 2021