Basal Cell Carcinoma (Invasive, Not Amenable to MOHS)

Diagnosis
Basal cell carcinoma (invasive, not amenable to MOHS)
Department
Surgical Oncology

1. Start the referral process:

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

Adult referral form

    2. Gather records:

    • Chart notes
    • Imaging reports
    • Pathology reports
    • Lab reports
    • If the referral is for MOHS, referral should be sent to Dermatology Surgery

    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

    Refer a patient

    • Fax your referral to 503-346-6854.
    • For help or to arrange provider-to-provider advice, call 503-494-4567  , option 4.