Pulmonary Clinic

Pulmonology Referral Guidelines for MAP Handbook

Brief summary of appropriate URGENT referrals:

• Asthma – severe
• Lung mass
• Pulmonary embolism
• SOB – severe

Brief summary of appropriate ROUTINE referrals:

• Asthma – moderate, persistent, uncontrolled on meds
• COPD
• Cough – chronic
• Interstitial lung disease (Pulmonary Fibrosis, Sarcoidosis, etc.)
• Lung nodule
• Neuro-related disorders with pulmonary complaint (ALS, Myasthenia Gravis, etc.)
• Obstructive sleep apnea (must have current sleep study within 3 months of referral)
• Pneumonia (unresponsive to initial treatment or complex)
• Pulmonary hypertension
• SOB

Please do NOT refer the following patients:

• Asthma – mild intermittent, controlled on meds
• Pediatric patients
• Tuberculosis patients (should be referred to TB clinic)

Documentation required for scheduling an appointment:

• Past Medical History (PMH)
• Current medication list
• Most recent progress note describing condition for which patient is being referred
• Recent pertinent labs
• Recent pertinent scans or imaging reports
• Pulmonary Function Tests if available
• Results of any skin tests performed (with dates and techniques)

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