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Consult Request Guidelines
for Dementia/Cognitive Concerns
Suggested Pre-Referral Evaluation and Management Guidelines
Consider depression, delirium, and medication effects. Assess living situation (medication compliance, financial management, driving safety, nutrition, behavior, caregiver stress).
Are there focal neurological findings, a gait disturbance, or rapidly progressive symptoms?
Suggested Additional Test/Management Prior to Specialty Visit
Routine dementia evaluation: CBC, TSH, Vit B12, chemistry profile including renal and liver function tests, brain imaging with CT or MRI (preferred if vascular risk factors present)
Patient Education/Information (includes preps)
Inform patient to plan to attend Cognitive Clinic appointment accompanied by a family member or companion who can serve as informant
Provide medical records including CD of cranial imaging to bring to appointment (if non-UMHS patient).
Next available Cognitive Disorders New Patient clinic visit. Neuropsychometric testing may be scheduled at time of NP visit.
How to Get Results to Consultant
UMHS Patients: See MiChart
External Patients: Hand carry non-UM records and MRI CD or films to visit
Clinic Contact Information
Clinic Location Sites
Cognitive Disorders, UM East Ann Arbor Health and Geriatrics Center
UM Consulting Physician
Dementia, Alzheimer's Disease and Memory Loss Physicians
Sami Jihad Barmada MD, PhD
Benjamin Martin Bly MD