Brain Tumor Board Referral Process

To better evaluate and collect information for our weekly Tuesday brain tumor board, please provide the following:

Please include a patient Face sheet (complete with patient name and demographics). Our team likes to review all insurance plans to understand capabilities and plan for possible limitations for second opinions and clinical trial considerations. As such, our coordinators requests that the referring team sends us a copy of the patient’s insurance card too.

Please complete and return a typed BTB referral form, available in Word format (click to download​​), along with relevant OR reports, pathology reports, imaging reports, and any other pertinent clinical notes. Please note, only typed BTB form will be accepted. 

If sharing imaging electronically, please be aware we can only upload images electronically with Lifeimage or Ambra.

• Ambra Sharecode: all_to_lurie
• Life image (please request link via email)

**Please note, all required materials noted here must be received by the end of the day on Friday. Cases missing materials will be postponed until the following week**

We are available Monday through Friday from 8:30 a.m. to 4 p.m. Please feel free to contact us by phone or email braintumorboard@luriechildrens.org with any questions.

Completed documents and records can be emailed back to braintumorboard@luriechildrens.org 

After your patient has been reviewed, a formal “Tumor Board Note” will be placed in Epic that can be viewed through Care Everywhere. We ask that you find formal recommendations there. If you do not have Care Everywhere, please let us know and we will send a separate email.

Let us know if you have any questions,
Lurie Children's Brain Tumor Board