1. Start the referral process:

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

Adult referral form

2. Gather records:

The patients who are eligible to see CAIRE after the ICU need to have had: 

• Acute respiratory failure or acute respiratory distress syndrome (ARDS)
• Severe sepsis or septic shock
• ≥48 hours of needing life support technologies such as: 
  • invasive mechanical ventilation; 
  • high flow nasal cannula;
  • new continuous positive airway pressure (CPAP), or bilevel positive airway pressure (BiPAP); 
  • Extracorporeal Membrane Oxygenation (ECMO); 
  • mechanical circulatory support (Impella, intra-ortic balloon pump ( IABP)
• a need for urgent cardiovascular interventions such as catheterization, coronary artery bypass graft (CABG) (e.g., PCI, CABG)
• continuous administration of neuromuscular blockers, sedatives, IV diuretics, or vasopressors/inotropes

The patients who are eligible to see CAIRE for an Infection-Associated Chronic Condition (IACC) will need to have new or worsening symptoms after an acute infection like SARS-CoV-2 that have lasted ≥ 3 months. CAIRE focuses on patients with any of the following symptoms: 

• shortness of breath
• cough
• fatigue (physical or cognitive)
• post-exertional malaise
• exercise intolerance
• cognitive or communication changes (brain fog)
• orthostatic intolerance or dysautonomia  

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