Search MAP & MAP BASIC Provider Handbook by Keyword

Renal/Hypertension Clinic

You are here:
< Back


  • Evaluate and treat patients with renal insufficiency, significant proteinuria, past renal transplant, SLE with possible nephropathy, and refractory hypertension.

Appropriate patients for referral include:

  • Renal Insufficiency (men Cr ≥ 1.4, women Cr ≥ 1.2 or SLE with any increase)
  • Proteinuria ≥ 500mg/day (urine protein/urine creatinine ratio ≥ 0.5)
  • Uncontrolled Hypertension (persistent SBP ≥ 160 despite compliance with 3 or more antihypertensive medications)
  • Renal Transplant
  •  SLE with abnormal urinalysis or increased creatinine

Please do NOT refer the following patients:

  • Kidney stones (refer to Urology Clinic.)
  • Hematuria with normal renal function and no proteinuria (refer to Urology Clinic)
  • Proteinuria on dipstick alone (must have qualitative urine protein/urine creatinine ratio ≥ 0.5)
  • Pediatric patients (age<18)

Documentation required for scheduling an appointment:

  • Completed Referral form
  • Past Medical History (PMH)
  • Current medication list
  • Most recent progress note describing condition for which patient is being referred.
  • Labs need to be within 1 month at the time of referral
  • Renal ultrasound need to be within last 6 months
  • Retinal exam need to be within last 2 years
  • For Hospital and ER follow up, lab work 48 hours before appointment date

Revised May 2015

Download Renal/Hypertension Clinic Worksheet

Have questions or comments about the specialty referral guidelines? Submit them here.