Geriatrics

Diagnosis
Geriatrics: dementia/cognitive concerns; depression/anxiety management; falls/near-falls; polypharmacy/medication management; goals of care/care planning; frailty/weight loss; multi-morbidity
Department
Internal Medicine Clinic

1. Start the referral process:

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

Adult referral form

2. Gather records:

  • Reason for consult
  • Last chart note
  • Problem list
  • Medication list
  • Prior cognitive testing
  • Labs
  • Head imaging
  • Care planning documents (advance directive, POLST if not on eRegistry)

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