Fragile X Tremor-Ataxia Syndrome

Diagnosis
Fragile X tremor-ataxia syndrome
Department
Neurology

1. Start the referral process: 

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

Adult referral form 

2. Gather records:

  • Recent chart notes
  • Must be accompanied by a movement disorder diagnosis/concern
  • Push all Brain, Neck and Spine imaging to OHSU PACS and include report 
  • Genetic testing if available

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