| CONSULT REQUEST GUIDELINES
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Erectile Dysfunction
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| Suggested Pre-Referral Evaluation and Management Guidelines |
If low risk for cardiovascular disease, and patient is not taking any form of nitrate medication, trial of PDE5 medication (sildenafil citrate, tadalafil, vardenafil citrate)
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| Suggested Additional Test/Management Prior to Specialty Visit |
Within last 6 months:
Serum glucose
Cholesterol profile
Within last month:
Testosterone
Free testosterone
Estradiol if estimated BMI>29
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| Patient Education/Information (includes preps) |
Erectile Dysfunction |
| Appointment Timeframe |
Next available
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| How to Get Results to Consultant |
UMHS Patients: See MiChart.
External Patients: Fax relevant clinic notes, laboratory results, diagnostic test results, operative notes to 734-936-9127 |
| Clinic Contact Information |
Physicians: 800-962-3555
Patients: 734-936-7030
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| Clinic Location Sites |
Briarwood Center for Reproductive Medicine
Domino's Farms Family Medicine Urology
Livonia Center for Specialty Care
Taubman Healthcare Center
Ypsilanti Health Center |
| UM Consulting Physician |
Allen McNeil Haraway, MD
Christopher Loren Allam, DO
Diane Marie Collin, PA
Joel J. Heidelbaugh, M.D.
Masahito Jimbo, MD
Dana Alan Ohl, MD
Susanne Anne Quallich, NP
Karl Thomas Rew, MD
Stanley Gitau Mukundi, PA
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| Revised on: |
09/05/2012 |
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