CONSULT REQUEST GUIDELINES                                                                         Print

Peripheral Vascular Disease

Suggested Pre-Referral Evaluation and Management Guidelines Symptoms include daily ischemic limb pain despite maximum medical therapy no further planned or possible percutaneous or surgical interventions
Suggested Additional Test/Management Prior to Specialty Visit Complete History/Physical
Imaging studies including vascular reports
Medications attempted
Referral to U of M Back & Pain Center for consideration of
1. Sympathetic blockade
2. Spinal Cord Stimulator
For more information regarding our program and what we offer please visit our website at U of M Back & Pain Center (
Patient Education/Information (includes preps) U of M Back & Pain Center 
Appointment Timeframe Within two weeks
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients: Hand carry non-UM records to visit or fax to 734-936-6585
Clinic Contact Information Physicians: 800-962-3555
Patient: 734-615-7246
Clinic Location Sites Brighton Health Center
Burlington Building
Canton Health Center
East Ann Arbor
Northville Health Center
UM Consulting Physician U of M Back & Pain Center Faculty
Revised on: 12/29/2014



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