Restless Leg Syndrome (RLS)
| Diagnosis |
Restless legs syndrome: restless leg; restlessness; periodic limb movement disorder
|
|---|---|
| Department |
Sleep Clinic; Neurology
|
1. Start the referral process:
Use your own referral form or notes* or download one of our forms:
2. Gather records:
For Sleep Clinic:
- Referring provider notes
- Labs (CBC, ferritin, iron, TIBC)
For Neurology:
- Recent chart notes
- Push all Brain, Neck and Spine imaging to OHSU PACS and include report
- Genetic testing if available
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 |
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