Bacteriuria, Urinary Tract Infections

Bacteriuria, urinary tract infections
Infectious Diseases; Pediatric Urology

1. Start the referral process:

Use your own referral form or notes* or download one of our forms:

2. Gather records:

For adult referrals, Infectious Diseases:

  • Chart notes related to diagnosis
  • Lab results
  • Imaging scan results (images pushed through IMPAX if electronically available or copy in CD mailed upon request)
  • Records from all providers previously treating Dx

For Pediatric Urology:

  • Chart notes
  • Urine cultures
  • Images and image reports

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

For help or to arrange provider-to-provider advice, call 503-494-4567.

Date Revised September 22, 2021