Electrolysis (Hair Removal)

Diagnosis
Electrolysis (hair removal): gender dysphoria; unacceptable cosmetic appearance
Department
Plastic and Reconstructive Surgery

1. Start the referral process:

For electrolysis (hair removal), gender dysphoria - use your own referral form or notes* or download our form:

For electrolysis (hair removal), unacceptable cosmetic appearance - use your own referral form or notes* or download our form:

2. Gather records:

  • Records required if billing insurance for gender affirming care

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 June 25, 2021