Kawasaki Disease

Diagnosis
Kawasaki Disease
Department
Cardiology; Pediatric Cardiology; Pediatric Infectious Disease

1. Start the referral process:

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

2. Gather records:

For adult referrals, Cardiology:

  • Last 3 echocardiograms
  • Cardiac MRI
  • Cardiac Cath
  • Cardiac surgeries
  • Echo within last 6 months

For Pediatric Cardiology:

  • Hospital records including discharge summary
  • All applicable lab results (example: CBC, Sed Rate, CRP)
  • Echo reports
  • ECG
  • Chest x-rays

For Pediatric Infectious Disease:

  • Chart notes, labs, and diagnostic imaging for last 6 months

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