Asthenospermia

Diagnosis
Asthenospermia
Department
Urology

1. Start the referral process:

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

Adult referral form

    2. Gather records:

    • 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 providers 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 20, 2021