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UMHS Home/Logo Consult Request Guidelines

for Memory Impairment

Memory Impairment
Suggested Pre-Referral Evaluation and Management Guidelines MMSE
Functional Evaluation
Screen for depression
Suggested Additional Test/Management Prior to Specialty Visit TSH
Syphilis FTA
Comp, CBC
Head imaging
Patient Education/Information (includes preps) Future planning and Advance Directives
Appointment Timeframe 2 weeks
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
Revised on: 03/03/2015