Spina Bifida (Neural Tube Defects)

Diagnosis
Spina Bifida (neural tube defects)
Department
Spine Center; Child Development and Rehabilitation Center

1. Start the referral process:

For adult referrals, use your own referral form or notes* or download our form: 

Adult referral form 

For pediatric referrals, use your own referral form or notes* or download our form:

CDRC new patient referral form

2. Gather records:

For adult referrals, Spine Center:

  • Chart note including neurological exam
  • MRI completed within the past year in IMPAX and report in EPIC

For pediatric referrals, Child Development and Rehabilitation Center:

  • PCP/specialist chart notes
  • Birthing records
  • Surgical records
  • Current MRI

    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