| CONSULT REQUEST GUIDELINES
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Psychosocial Care
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| Suggested Pre-Referral Evaluation and Management Guidelines |
Placement Increase in structure of living environment
Caregiver stress
Home safety issues
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| Suggested Additional Test/Management Prior to Specialty Visit |
MMSE
Depression assessment
Functional status
Family burnout
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| Patient Education/Information (includes preps) |
Assisted living/adult foster care/nursing home
Financial ramifications
DPOA
Advanced directive |
| Appointment Timeframe |
1 week
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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 |
Geriatrics faculty and geriatric social work
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| Revised on: |
09/06/2012 |
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800-962-3555
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