| CONSULT REQUEST GUIDELINES
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Falls/Abnormal Gait
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| Suggested Pre-Referral Evaluation and Management Guidelines |
Injurious falls/2 falls per year
Pattern of falls
Observe gait
Consider PT or assistive device
Review medications
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| Suggested Additional Test/Management Prior to Specialty Visit |
TSH, comp, CBS
Orthostatic blood pressures
Cardiovascular eval
Full neuro exam
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| Patient Education/Information (includes preps) |
Home safety
Home/Center PT
Exercise Program
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| Appointment Timeframe |
2 weeks
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| How to Get Results to Consultant |
UMHS Patients: See MiChart
External Patients: Patients hand carry outside records to visit |
| Clinic Contact Information |
Physician: 800-962-3555
Patient: 734-764-6831 |
| Clinic Location Sites |
East Ann Arbor Health and Geriatrics Center |
| UM Consulting Physician |
Neil B. Alexander, M.D.
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| Revised on: |
09/06/2012 |
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