Multiple Endocrine Neoplasia Type 1 (MEN1)
Diagnosis |
Multiple endocrine neoplasia type 1 (MEN1)
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Department |
Endocrinology and Diabetes; Surgical Oncology; Otolaryngology and Head and Neck Surgery
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1. Start the referral process:
Use your own referral form or notes* or download one of our forms:
2. Gather records:
For adult referrals, Endocrinology and Diabetes:
- Recent chart notes related to diagnosis
- Labs supporting diagnosis
For adult referrals, Surgical Oncology:
- Chart notes
- Imaging reports
- Pathology reports
- Lab reports
For adult and pediatric referrals, Otolaryngology and Head and Neck Surgery:
- Relevant imaging (Ultrasound, CT Scans, PET Scans)
- Genetic Sequencing Test
- Records and testings requirements determined by provider who completed medical review.
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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