Surgical services

Referral forms

Home > Services & Resources > Services > Adult Services A-Z > Surgery > Professional resources

Referral forms

We welcome the opportunity to partner with you in the care of your patients. To make a referral to one of the services listed below, please click on the links below, follow the instructions, and fax the form to the preferred location.

Adult surgery services 

Legacy Medical Group-General Surgery (physician referral form

*For Good Sam and Mount Hood locations



Healthy Living
Legacy Health’s diabetes program gives patients tools for success
What have we learned about the Delta variant?
Community Impact
Legacy donates funds to support Marion County, community-based partners