Heart Failure
| Diagnosis | Heart failure: advanced or chronic; left heart; right heart; unspecified |
|---|---|
| Department | Cardiology |
1. Start the referral process:
Use your own referral form or notes* or download our form:
2. Gather records:
For advanced or chronic heart failure:
- Last 3 echocardiograms
- Cardiac MRI
- Cardiac Cath
- Cardiac surgeries
For left heart failure:
- Echo reports
- Echo images
- Previous cardiac work-up
For right heart failure:
- Echo reports
- Echo images
- Previous cardiac work-up
For unspecified heart failure:
- Echo reports
- Echo images
- Previous cardiac work-up
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 |
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