How to Refer - Referral Forms | Legacy Health

How to Refer - Referral Forms | Legacy Health
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To Refer
Infusion forms
Refer a Patient
Partnering with you
We welcome the opportunity to partner with you in the care of patients.
Refer by electronic health record
To make a referral through Epic, our electronic health record (EHR), please go to
Legacy Access.
You must have login credentials.
Refer by phone
To refer a patient by phone to a specific clinic, search our
Doctors & Locations
database to call the appropriate clinic's phone number.
To refer a patient by phone for consultation, transfer or emergency department admit to a Legacy Health hospital, call
Legacy One Call.
Refer by fax
To make a referral by fax to one of the services below, please click on the link, follow the instructions and fax the form.
Adult Services
Adult Sleep Center
Biopsy Drainage Order
Bone Marrow Assistance
Cardiac Rehab
Cardiopulmonary
,
Stress Testing (Patient Informed Consent)
Diabetes and Nutrition Services
Geriatrics
Imaging Services
Infusion Orders
Beaverton, Gresham, NW Portland, Tualatin)
Infusion Orders
(NE Portland, Silverton, Vancouver)
Inpatient Rehabilitation
Interventional Radiology
(Emanuel, Good Samaritan, Mount Hood)
Interventional Radiology
(Meridian Park)
Interventional Radiology
(Salmon Creek)
LMG-Gastroenterology
LMG-General Surgery
LMG-Surgical Oncology
LMG-Maternal-Fetal Medicine
Lumbar Puncture
Lung Screen
If applicable, use service code: REF210
Neurodiagnostic Services
Oral, Head and Neck Cancer Program
Outpatient Rehabilitation/Physical Therapy
Palliative Care
Peripheral Artery Disease (PAD), Supervised Exercise Therapy (SET)
Physical Therapy and Rehabilitation
Pulmonary Rehab
Sleep Study
Sports Medicine
Weight Management / Bariatric
Children's Services
Randall Children's Specialties Referral Form