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 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 |
|---|