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  • 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
  • Referral for Chronic Kidney Disease / elevated serum creatinine need the following labs:
    • urine protein/creatinine ratio 
    • phosphorus 
    • PTH 

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 Nephrology Worksheet

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