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Project Access Multnomah County

Standard Guidelines to Ensure Appropriate Referrals


Medical Referral Guidelines

Medical Sub-Specialty Referral Guidelines

for Referring Medical Providers

Project Access Multnomah County proactively supports efficient and appropriate medical referrals by providing these standard medical referral guidelines as a resource for all providers.

These guidelines were adapted from the Madigan Army Medical Center website, which proves an excellent resource. We make no claims to medical expertise, and offer these only as a guideline.

Referral guidelines are indexed by alphabetical order or by specialty.

Specialty referral guidelines are uniformly formatted to include:

1. Diagnosis/Definition

2. Initial Diagnosis and Management

3. Ongoing Management and Objectives

4. Indications for Specialty Care

5. Criteria for Return to Primary Care

Note

If the patients diagnosis meets the criteria for specialty care referral, then strong consideration should be given for a referral with the appropriate specialty care volunteer at Project Access.

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- (Jan 17, 2011 07:01:45 pm)

Our orthopedic services would like to seek your permission to use your guidelines at our organization. They were impressed by the formatted guidelines and the referral content. We would be most grateful for a prompt reply as we are in the process of web page design for the service.Thank you.
- (Feb 21, 2012 01:02:00 pm)

My daughter is 7 months pregnant and her ob wants her to get a ultrasound because she was concerned about baby\'s heartbeat. My daughter has asked her primary care physician for a referral and the secretary told her she couldn\'t give her one because she hasn\'t been seen seen for 1 1/2 yrs and that she would have to come in the office to see doc. well, she\'s not sick she\'s pregant and she needs the referral to get ultrsound, they refused and told her she has to come in to see doc. now since when does it cost a fee to get a referral?
- (Feb 21, 2012 01:02:06 pm)

My daughter is 7 months pregnant and her ob wants her to get a ultrasound because she was concerned about baby's heartbeat. My daughter has asked her primary care physician for a referral and the secretary told her she couldn't give her one because she hasn't been seen seen for 1 1/2 yrs and that she would have to come in the office to see doc. well, she's not sick she's pregant and she needs the referral to get ultrsound, they refused and told her she has to come in to see doc. now since when does it cost a fee to get a referral?
- (Jul 23, 2013 12:07:01 pm)

My application for Project Access was approved back on May 15, 2013. It was backdated for the period 3/15/13 through 9/15/13. I have been trying to get an appointment for a colonoscopy at Oregon Clinic for the last few months. I'm a bit confused about procedure. My original inquiry to you was back in January, 2013. Oregon Clinic I believe says that Rosewood Family Health Clinic, my PCP (Natalie Miller, P.A.) needs to produce a referral letter additionally. I have left several messages over the last few months for the referral department (most recently Cheryl Ann or Cheryl Lynn) at Rosewood and cannot get a return call to expedite this procedure. I have been in to see Rosewood twice the last week for a couple visits. I have talked with both Katie Kern, my mental health care provider, and Nina, PA (emergency appointment this last Saturday)and expressed my frustration. However, they could not help me or let me know if perhaps I am not following procedure. I have never been screened for Colon Cancer. I am 63 years old, low income and have been told I should have had this particular screening as early as age 50 and every 3-5 years after that. So far I am really frustrated with the Coalition of Community Health Care for their referral to Rosewood. For over a year IU have not been able to get effective anxiety meds even though I had been on .5 mg. of alprazolam for over 15 years through my previous PCP, Dr. Garcia at Providence Medical Center at Clackamas. I have PTSD depression which is why the continued anxiety. I am just venting here; what I need addressed right away is the procedure for getting my colonoscopy done. Thank you, please for your help. My phone number is 503-706-9293. My name is Glenna K. ****erson, and I live at 1716 SE Lexington Street, Portland, OR 97202. My e-mail address gk****er195@***mail.com