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Consult Request Guidelines
for Premature Family History of Coronary Disease
Premature Family History of Coronary Disease
Suggested Pre-Referral Evaluation and Management Guidelines
1)
FBS
2)
Lipid profile, Lipoprotein (a)
3)
ECG
Suggested Additional Test/Management Prior to Specialty Visit
Patient Education/Information (includes preps)
Appointment Timeframe
2-6 weeks
How to Get Results to Consultant
UMHS Patients: See CareWeb
External Patients: When the appointment is made, you will be directed where to send or fax medical records
Clinic Contact Information
Physicians: 800-962-3555
Patients: 734-647-7321 or 888-287-1082
Clinic Location Sites
Domino Farms
UM Consulting Physician
Melvyn Rubenfire, M.D.
Kim A. Eagle, M.D.
Revised on:
06/20/2011