Sarcoidosis

Diagnosis
Sarcoidosis
Department
Cardiology; Pulmonary Medicine; Rheumatology

1. Start the referral process:

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

Adult referral form

2. Gather records:

For Cardiology:

  • Please place a referral to PULMONARY and specify "Refer to Collaborative Sarcoid Program"
  • Specify which organs are affected by sarcoid (lung, heart, liver, nervous system, etc) so we can arrange all necessary specialist appointments for as few clinic visits as possible.
  • Include if patient has a pacemaker or implantable cardioverter-defibrillator.
  • Please send all following records, if available:
    • Chest CT
    • Pulmonary function tests
    • FDG-PET scans
    • Echocardiograms
    • Cardiac MRI
    • ECGs
    • Any tissue diagnosis/pathology supporting sarcoidosis diagnosis (skin, lymph node, liver, etc.)

For Rheumatology:

  • Recent chart notes supporting diagnosis
  • Chart notes from referring provider from past 2 years
  • Labs supporting the diagnosis
  • Imaging supporting the diagnosis
  • Notes from rheumatologist if seen
  • Any tissue diagnosis/pathology supporting sarcoidosis diagnosis (skin, lymph node, liver, etc.)

For Pulmonary Medicine:

  • Recent chart notes supporting the diagnosis; ACE level (if available)
  • Bronchoscopy study (if available)
  • Chest imaging - Chest X-ray (CXR) & Chest CT (if available)
  • Echocardiogram (if available)
  • Labs supporting the diagnosis
  • Arterial blood gas (ABG) (last year) (if available)
  • Lung biopsy report (if available)
  • All pulmonary function test reports (if available)
  • Pulmonary rehab reports (if available)
  • Sleep study, sleep clinic notes, nocturnal oximetry (if available)
  • Sputum study (sputum and bronchoalveolar lavage results including respiratory cultures and serologies) - lab studies (if available)
  • Thoracic surgery report (if available)
  • Allergist records & testing as noted above if the patient saw one for asthma or other pulmonary diseases.
  • Lung ventilation and perfusion scan (V/Q scan) - radiologic study (if available)
  • Right heart catheterization procedure report (if available)
  • Lung pathology reports (if available)
  • Any tissue diagnosis/pathology supporting sarcoidosis diagnosis (skin, lymph node, liver, etc.)

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