Ehlers Danlos Syndrome

Diagnosis
Ehlers Danlos syndrome
Department
Comprehensive Pain Center; Pediatric Cardiology

1. Start the referral process:

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

2. Gather records:

For adult referrals, Comprehensive Pain Center:

  • Detailed reason for referral & what is being requested to evaluate
  • Last 3 months of chart notes
  • CT/MRI/PT/x-ray or ultrasound imaging results 

For Pediatric Cardiology:

  • Most recent chart notes including chest x-ray reports
  • ECG strips (not just report)
  • Any Echo reports
  • If applicable, Event or Holter Monitors or genetic testing

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 July 07, 2021