Autoimmune Encephalopathy

Autoimmune encephalopathy

1. Start the referral process: 

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

Adult referral form 

2. Gather records:

  • Neurology Chart notes
  • Push All Brain, Spine and Neck imaging to OHSU PACS and include report 
  • LDABS: Spinal Tap, VEP, Vit D, CBC, CMP

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 May 17, 2021