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Surgical Documentation and Scheduling

Surgical Documentation and Scheduling


Scheduling Portal

  Use the Scheduling Portal for new requests, changes, cancellations, confirmation of line-ups and block releases.
  Former versions of the Surgery Scheduling Sheet for your specialty can still be submitted via Relay Health or fax to 541-706-6342 until July 31.
  Effective Aug. 1 only portal submissions will be accepted (except during downtimes).
Add-Ons
  Call-in request directly to the Operating Room Desk at 541-706-7789
  Add-Ons are cases requested for the same day or next-day requests made after 11 a.m. the previous business day.

Required Clinical Documents

Submit clinical documentation at least 24 hours prior to surgery. Must include surgeons orders and patient history and physical. Fax to the medical records fax queue at (541) 598-3403.
Physician History and Physical Form
Pre-Op Physician Order Forms



Forms

For the convenience of our MD offices, the forms listed below are formatted as Adobe Acrobat fillable .pdf forms. Click the links below to access the forms and save a copy to your desktop.

Surgery Scheduling Sheets Fax to Surgery Scheduling541-706-6342
Special RequestsFax to Materials541-598-3480
History and PhysicalFax to Medical Records541-598-3403
Pre-Op Physician Order FormsFax to Medical Records541-598-3403
Surgery Block Release Fax to Surgery Scheduling541-706-6342
Surgical Block RequestSee Form for Submission Options 
Flat Fee Request FormSee Form for Submission Options 
Informed Consent FormsSee Form for Submission Options 

Contacts

Surgery Scheduling
Phone: 541-706-7788
Fax: 541-706-6342

Medical Records
Phone: 541-706-7166
Fax Queue: 541-598-3403 (Surgery Related Medical Only)

Materials
Phone: 541-706-4902
Fax: 541-598-3480

Main Operating Room
Phone: 541-706-7789

Pre-Surgery Clinic
Phone: 541-706-2718