Collaborative specialist consultations for your patients
We treat our referring primary care physicians and specialists as essential care partners. Our practice promise is simple: prompt scheduling, thorough patient evaluations, and detailed consultation notes faxed to your office within 24 to 48 hours of every visit.
Our 24–48 Hour Consult Note Turnaround Promise
Nothing is more frustrating than sending a valued patient to a specialist and waiting weeks without an update. Dr. Hozayen and Dr. Awad personally dictate and fax a thorough clinical consultation note back to your office within 24 to 48 hours. When urgent issues arise, our physicians will call your office directly.
When to refer (KDIGO 2024 guidelines)
Evidence-based thresholds for specialist nephrology co-management and referral.
| Clinical Category | Referral Threshold Criteria | Specialist Nephrology Rationale |
|---|---|---|
| CKD Progression | eGFR < 60 mL/min/1.73m² with persistent decline (>3–5 mL/min/year) or eGFR < 30 mL/min/1.73m² (Stage 4) | Early specialist intervention to optimize modern renoprotective agents (SGLT2i, finerenone, ACEi/ARB) and manage secondary hyperparathyroidism, anemia, and acidosis. |
| Albuminuria / Glomerular Stress | Urine Albumin-to-Creatinine Ratio (UACR) > 300 mg/g or persistent microscopic hematuria with proteinuria | Ruling out glomerulonephritis, initiating disease-modifying therapy, or evaluating the need for ultrasound-guided kidney biopsy. |
| Resistant & Secondary Hypertension | Blood pressure remains >130/80 mmHg despite adherence to 3 full-dose antihypertensives (including a diuretic) | Targeted hormonal screening for primary aldosteronism, renal artery stenosis Doppler imaging, and specialized mineralocorticoid titration. |
| Recurrent Nephrolithiasis | Two or more lifetime kidney stone episodes, bilateral stones, or early-onset stone formation (<25 years) | 24-hour urine metabolic evaluation (LithoLink) to identify underlying hypercalciuria, hyperuricosuria, or hypocitraturia. |
| Post-Hospital AKI Follow-up | Hospital discharge with acute kidney injury or creatinine remaining elevated above baseline | Comprehensive post-discharge outpatient monitoring, safe medication reconciliation, and readmission avoidance. |
What to send with your referral
To prevent duplicate lab draws and expedite your patient's visit, please fax the following clinical records along with your referral sheet:
- Most Recent Lab Work: Comprehensive Metabolic Panel (BMP/CMP) including serum creatinine, BUN, eGFR, and electrolytes.
- Urinalysis & Quantification: Recent urinalysis and spot Urine Albumin-to-Creatinine Ratio (UACR) or UPCR.
- Renal Imaging: Recent renal ultrasound or CT reports if performed.
- Current Medication Profile: Complete medication list with active dosages.
- Recent Office Notes: Your last 1–2 progress notes outlining your clinical concern.
Physician Referral Form
You may use your office's standard referral cover sheet or download our convenient fillable fax referral PDF below.
Fax completed packet to (732) 264-5006
Our staff will contact your patient within 1 business day to coordinate appointment scheduling.