Multiple Endocrine Neoplasia Type 1 (MEN1)

Diagnosis
Multiple endocrine neoplasia type 1 (MEN1)
Department
Endocrinology and Diabetes; Surgical Oncology; Otolaryngology and Head and Neck Surgery

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