Important Information Regarding COVID-19
Learn More

Referring Your Patient

To refer patients to RestorePDX, complete our Referral Request Form and fax chart notes and imaging reports related to referral
to 1-855-276-2456. A New Patient Coordinator will contact your patient to schedule a consultation.

*Denotes Required Field

Patient Information

Musculoskeletal: Evaluate and Treat (Check All That Apply and Specify in the Comment Box)

Patient Direct to Procedure: Check All That Apply and Specify in the Comment Box

Diagnostic Studies: Check All That Apply and Specify in the Comment Box

Regenerative Medicine Consultation

9925 SW Nimbus Ave, Suite #100
Beaverton, OR 97008
503-217-6305
Office Hours
Monday:
Closed
Tuesday-Thursday:
7AM - 5PM
Friday:
7AM-3PM