| CONSULT REQUEST GUIDELINES
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Refractory Angina
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| Suggested Pre-Referral Evaluation and Management Guidelines |
Symptoms include daily chest pain with maximum medical therapy and no further interventions planned including
-CABG
-PTCA
-Medical Management
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| Suggested Additional Test/Management Prior to Specialty Visit |
Copies of any investigation
ECHO, Stress Test, and Cardiac Catheter Relevant past medical history Referral to U of M Back & Pain Center
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| Patient Education/Information (includes preps) |
U of M Back & Pain Center |
| Appointment Timeframe |
Within one week
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| 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
Dexter
East Ann Arbor
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| UM Consulting Physician |
U of M Back & Pain Center Faculty
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| Revised on: |
10/01/2012 |
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