End Stage Renal Disease (Essential or Non-Essential)

Diagnosis
End stage renal disease (essential or non-essential)
Department
Division of Nephrology and Hypertension; Pediatric Nephrology

1. Start the referral process:

Use your own referral form or notes* or download one of our forms:

2. Gather records:

For adult referrals, Division of Nephrology and Hypertension:

  • Chem panel
  • Urinalysis
  • Last 3 visit notes
  • Any abdominal imaging

For Pediatric Nephrology:

  • Chart notes
  • Labs
  • Ultrasound report

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 March 06, 2021