Urinary Tract Infection (UTI)
| Diagnosis | Urinary tract infection (UTI) |
|---|---|
| Department | Urology; Pediatric Urology |
1. Start the referral process:
Use your own referral form or notes* or download one of our forms:
2. Gather records:
For adult referrals, Urology:
- Urinary tract infection (UTI) during pregnancy, antepartum:
- Records from all providers previously treating Dx
- Imaging reports Images pushed
- Urinary tract infection (UTI0 with or without Hematuria:
- ≥ 2 UTI is past 6 months or ≥ 3 UTIs past year
- Must have culture >100k of single organism
- Records from all providers previously treating Dx
- Urinary tract infection (UTI), site not specified:
- ≥ 2 UTI is past 6 months or ≥ 3 UTIs past year
- Must have culture >100k of single organism
- Records from all providers previously treating Dx
For Pediatric Urology:
- Urinary tract infection (UTI) less than 4 years old:
- Obtain all previous urologic images, reports
- PCP notes and UA cultures
- Renal/Bladder Ultrasound and KUB at DCH
- If history of Febrile UTI then VCUG. UA, Uroflow, EMG, PVR, and voiding forms
- Urinary tract infection (UTI) 4 years and older:
- Obtain all previous urologic images, reports
- PCP notes and UA cultures
- Renal/Bladder Ultrasound and KUB at DCH
- If history of Febrile UTI then VCUG. UA, Uroflow, EMG, PVR, and voiding forms
- Urinary tract infection (UTI) with or without Hematuria:
- Chart notes
- Urine cultures
- Images and image reports
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 |
|---|