1. Start the referral process:

Use your own referral form or notes* or download our form:

Adult referral form

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 providers 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