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WEST SIDE OFFICE 9701 SW Barnes Road, Suite 299 Portland, OR 97225 Referral Phone: (503) 7343734 Referral Fax: (503) 7343559 Main Phone: (503) 2973660 EAST SIDE OFFICE 5050 NE Host Street, Suite 230

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How to fill out northwest perinatal center referral

01

Obtain the referral form from the northwest perinatal center or download it from their website.

02

Fill in the patient's personal information such as name, date of birth, and contact information.

03

Provide the reason for the referral, including any relevant medical history or diagnosis.

04

Fill out the referring physician's information, including name, contact details, and any specific instructions or concerns.

05

Include any supporting documents or test results that may be required for the referral.

06

Double-check all the filled information for accuracy and completeness.

07

Submit the referral form to the northwest perinatal center either in person, by mail, or through their online submission portal.

08

Keep a copy of the referral form for your own records.

09

Follow up with the northwest perinatal center to ensure that the referral has been received and processed.

Who needs northwest perinatal center referral?

01

Individuals who require specialized perinatal care or assistance during pregnancy, childbirth, or postpartum period may need a referral to the northwest perinatal center.

02

This may include pregnant women with high-risk pregnancies, individuals with specific medical conditions or complications, or those seeking expert advice and consultation.

03

Additionally, healthcare providers who believe their patients would benefit from the expertise and resources available at the northwest perinatal center may also initiate a referral.

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