Appointments & Billing

Schedule via phone 503-297-3384

New patient referral and scheduling

Patients:

We are not part of Epic, Providence, or other referral platforms. Please let your referring provider know that your referral should be submitted via fax to ensure timely processing.

F.503-297-0863

Once a referral is received, reviewed, and triaged by our providers, our team will contact you directly to proceed with scheduling, or we will notify your provider directly if we are unable to proceed. Please allow 4–6 weeks for processing.

For an urgent referral, please have your provider call us directly: 503-297-3384, press 1 for the physician line.

Providers:

  • Please note: We are not part of Epic, Providence, or other referral platforms. Referrals should be submitted via fax to ensure timely processing.
  • Once a referral is received, reviewed, and triaged by our providers, our team will contact the patient directly to proceed with scheduling, or will notify you if we are unable to proceed. Please allow 4–6 weeks for processing.
  • For urgent referrals please call us directly: 503-297-3384, press 1 for the physician line.

To help us ensure that patients who most need specialty evaluation are seen promptly, we ask that referrals continue to focus on conditions where rheumatology adds the most value:

Conditions Where Rheumatology Adds the Most Value:

  • Inflammatory arthritis – joint swelling with prolonged morning stiffness (>30–60 minutes); symptoms lasting >6 weeks
  • Systemic autoimmune disease – multi-system involvement (e.g., rash, cytopenias, serositis, renal involvement)
  • Vasculitis – organ involvement with elevated inflammatory markers
  • Inflammatory muscle disease – proximal muscle weakness with elevated CK

Urgent Referrals (Call Physician Line: 503-297-3384, press 1):

  • Suspected giant cell arteritis
  • Rapidly progressive organ involvement
  • Severe inflammatory arthritis with functional decline

Common Referrals That Typically Do Not Require Rheumatology Consultation:

  1. Positive ANA without symptoms
  2. Isolated low-titer RF without arthritis
  3. Fibromyalgia
  4. Osteoarthritis (including degenerative spine disease)
  5. Stable gout on treatment
  6. Mild ESR/CRP elevation without clinical findings
  7. Chronic fatigue
  8. Hypermobility
  9. Non-specific joint pain without swelling
  10. “Rule out autoimmune disease” without supporting features
  11. Osteopenia
  12. Stable osteoporosis on oral bisphosphonates

Minimum Workup (when appropriate prior to referral) Please make sure to include results with the referral:

  • CBC, CMP
  • ESR, CRP
  • RF, CCP (if inflammatory arthritis suspected)
  • ANA (only if clinical suspicion)
  • CK (if muscle symptoms)

If you have any questions or need guidance on a specific case, our team is always happy to assist.

 

 

Patients referred for infusion / injection treatments

We also offer infusion and injection treatments to patients referred by outside providers e.g prolia, reclast, evenity, remicade, rituxan, among others.

Referring Providers: Please check our infusion center page for the detailed process on how to refer a patient to us for infusion/ injection medication.

Patients: Please call 503-297-3384 option 9, then option 1  to schedule an appointment for these treatments.

 

Established patients at NWRA

Please call 503-297-3384 to schedule an appointment or request an appointment on your patient portal. If you request an appointment through the portal, you will receive a notification of approval/ denial (if that slot is not available) from our office, followed by a phone call to schedule your appointment.

 

Insurance

If you have no insurance coverage we require a $250.00 deposit for your first visit, payable one week in advance of the scheduled appointment and full payment at the time of service.  Click here to see the health insurance plans we accept. 

 

Patient Check-In

PLEASE ARRIVE AT YOUR SCHEDULED CHECK-IN TIME (20 minutes before your appointment time) to allow us time to process your paperwork and ensure you are ready on time for your appointment. If you are late for check in, you will likely need to be rescheduled.

PLEASE ALLOW TIME FOR UNANTICIPATED TRAVEL AND PARKING CONDITIONS.

Check our FAQ section for questions like what to expect at your first appointment, what to bring, how long appointments last etc. New patients will be required to show government issued picture ID and their insurance card.

 

Billing

Please review your billing statement and feel free to contact our billing staff (at 503-297-3384, option 7, then option 3) for any questions on your account.  Please note you will receive a statement from us after your insurance has paid (if a balance is due).  We encourage you to call to discuss payment plan options if you are unable to pay your account in full.

We invite you to call our office or use the patient portal to pay your personal balance with your credit card: VISA, MASTERCARD, AMERICAN EXPRESS and DISCOVER are accepted.

Please note we do not treat conditions such as chronic pain, fibromyalgia. To learn more about what we offer, please reference diseases we treat.