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