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Consult Request Guidelines
for Family History of Sudden Cardiac Death
Family History of Sudden Cardiac Death
Suggested Pre-Referral Evaluation and Management Guidelines
1) ECG
2) CBC, Basic
3) Surface echocardiogram
4) Echo, stress test, cath results
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
1.
U-M Cardiovascular Center
2.
Briarwood Center
3.
Brighton Health Center
4.
Canton Health Center
5.
Chelsea Family Medicine
6.
Livonia Health Center
7.
Domino Farms Preventive Cardiology
UM Consulting Physician
Cardiac Electrophysiology Faculty
Cardiovascular Medicine Faculty
Revised on:
06/20/2011