| CONSULT REQUEST GUIDELINES
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Polypharmacy/Medication Review
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| Suggested Pre-Referral Evaluation and Management Guidelines |
Suspicion of use of unneeded medicines,
Medication side effects and interactions,
Nonadherence due to cost, complexity or cognition or other limitations
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| Suggested Additional Test/Management Prior to Specialty Visit |
Check with insurance to see if pharmacy consult is covered
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| Patient Education/Information (includes preps) |
Prioritization of health needs
Instructions for proper use of meds
Written medication list
Financial assistance for purchase
Assistance with medication organization and administration |
| 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 |
Geriatrics faculty and geriatric social work
Tami Remington, PharmD (call 734-764-6831 for appointment)
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| Revised on: |
09/06/2012 |
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800-962-3555
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