U.S. Army Medical Department, Office of the Surgeon General
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Madigan Army Medical Center Referral Guidelines

Madigan Army Medical Center Referral Guidelines

The MAMC Referral Guidelines are documents developed by primary care physicians and specialists to facilitate the process of referral from primary care portals to specialty care. These guidelines can also be used as a tool to ensure better use of resources by adjusting the threshold for referral, depending on specific types of care. 

It should be stressed that the MAMC referral guidelines are only only tools for the provider. The ultimate judgment regarding the appropriateness of any specific therapy or referral must be made by the physician in light of all circumstances presented by an individual patient. Referral guidelines are indexed on separate pages by alphabetical order or by specialty to facilitate finding the one you are looking for. Each index page also includes a search tool.

MAMC referral guidelines are uniformly formatted to include:
  1. Diagnosis/Definition
  2. Initial Diagnosis and Management
  3. Ongoing Management and Objectives
  4. Indications for Specialty Care
  5. Criteria for Return to Primary Care

The care provider may use these guidelines to help determine the best approach to treatment of patients, as well as when to refer to a specialist. If the patient’s diagnosis meets the criteria for specialty care referral, then strong consideration should be given for consultation with the appropriate specialty care clinic. The primary care provider should make note of the "criteria for return to primary care."  

For more information, about the guidelines please contact: The Clinical Guidelines Administrator