Mohs Micrographic Surgery and other Dermatologic surgical needs
To refer a patient to any of our dermatologic surgeons, please:
- Fax this form , the patient's chart notes and pathology report to 503-346-8103 (fax)
- If you would like to check on available dates or schedule the appointment for your patient, call 503-494-6483 (voice)
- Send the pathology slide with a copy of the pathology report to:
OHSU Department of Dermatology
Dermatopathology – CH5D
3303 SW Bond Ave
Portland, OR 97239
You may also email our office directly at dermsurg@ohsu.edu to attach photographs
We are flexible and will work with either the referring physician or the patient to schedule appointments.
Please note:
All melanoma pathology reports and slides must be received and reviewed prior to date of surgery.
