Dysuria

Diagnosis
Dysuria
Department
Pediatric Urology; 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, Urology:

  • PCP, Urine Micro and Culture within 6 months
  • Scrotal US within 6 months
  • Records from all providers previously treating Dx

For Pediatric Urology:

  • Obtain all previous urologic images and reports, PCP notes and UA cultures
  • UA, Uroflow, PVR (if potty trained) voiding forms

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 18, 2021