Cardio Oncology

Diagnosis
Cardio oncology
Department
Cardiology; Pediatric Cardiology

1. Start the referral process:

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

2. Gather records:

For adult referrals, Cardiology:

  • Echo
     
  • If referred by an Oncologist, send:
    • Progress note from referring provider
    • Chemotherapy notes

For Pediatric Cardiology:

  • Most recent chart notes including chest x-ray reports
  • ECG strips (not just report)
  • Any Echo 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 May 16, 2022