Gender Dysphoria; Gender Dysplasia; Transsexualism
| Diagnosis |
Gender dysphoria; gender dysplasia; transsexualism
|
|---|---|
| Department |
Endocrinology and Diabetes; Pediatric Endocrinology; Urology
|
1. Start the referral process:
Use your own referral form or notes* or download one of our forms:
2. Gather records:
For Endocrinology and Diabetes:
- Recent chart notes related to diagnosis
- Labs supporting diagnosis
- Mental health evaluation or letter of support
For Pediatric Endocrinology
- Chart notes
- Growth charts
- Lab results
For Urology:
- Records from all providers previously treating Dx
- Imaging reports
- Images pushed
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 01, 2024 |
|---|