Concussion
Diagnosis |
Concussion
|
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Department |
Sports Medicine; Pediatric Neurology
|
1. Start the referral process:
Use your own referral form or notes* or download one of our forms:
2. Gather records:
For adult referrals at Gabriel Park Sports Medicine:
- Recent clinic notes
For Pediatric Neurology:
- No records required
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 | July 20, 2022 |
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