Who We Care For

• Review AKI Carepathway for evaluation and management.

• Review CKD referral criteria
• CKD Carepathway
• CKD Management Goals

• Patients with resistant or secondary hypertension
• Review hypertension referral criteria
• HTN Handbook (educational materials on BP measurement, diet, medications, others)

• Patients with vasculitis, Glomerular and tubulointerstitial diseases, lupus and other complex connective tissue disorders

Vasculitis/Glomerular Disease Referral Form  Visit Our Glomerular Disease Clinic Learn More About Glomerular Disease 

• Autosomal Dominant Polycystic Kidney disease
• Autosomal Recessive Kidney Disease
• Thin Basement Membrane Disease/Alport’s Syndrome
• Hereditary Tubular and Interstitial Kidney Diseases
• Fabry’s Disease
• Others

• Patients are seen in Multidisciplinary clinic by providers from multiple specialties including nephrology, urology and nutritional services

Kidney Stone Referral Form Visit Our Kidney Stone Clinic 

• Patients with significant and persistent following electrolyte abnormalities

• Patients with kidney disease who are currently pregnant or considering pregnancy are seen in a multidisciplinary clinic
• If a patient is planning to or currently receiving care from UNC Maternal Fetal Medicine (MFM) and would like to be seen in the MFM Nephrology clinic located at the Vilcom Location in Chapel Hill please call 984-215-5000 or place via Epic referrals (Ambulatory Referral to Maternal-Fetal Medicine) and put “MFM-nephrology clinic” in the referral line.
• For all other referrals, review referral criteria and refer using this form.

Visit Our Nephrology/Maternal-Fetal Medicine 

Kidney Transplant Evaluation

Please have your physician (either primary care of specialist) fax a completed clinic referral form (Kidney Transplant Review and Referral Form), along with relevant medical records (e.g., clinic notes and test results) to 984-974-5200. Upon receipt, a clinical staff member will review the request and identify the appropriate provider. Next, our scheduling team will call you to set up the appointment. Finally, we will fax your physician a copy of the appointment time and mail you information about your appointment. Should you need to check to see if an appointment has been made, please call 984-974-0888.

Kidney Transplant Referral Form 

Post Kidney Transplant Clinic

Please have your physician (either primary care of specialist) fax the relevant medical records (e.g., clinic notes and test results) to 984-974-0888 along with a face sheet mentioning “Referral for Post Kidney Transplant patient”. Upon receipt, a clinical staff will review the request and identify the appropriate provider. Next, our scheduling team will call you to set up the appointment. Finally, we will fax your physician a copy of the appointment time and mail you information about your appointment. Should you need to check to see if an appointment has been made, please call 984-974-1764.

• Acute Kidney Injury
• CKD
• Hypertension 
• Vasculitis/Glomerulointerstitial Diseases
• Heredity Kidney Disease 
• Nephrolithiasis
• Pregnancy: For current UNC Maternal Fetal Medicine patients call 984-215-5000 or place via Epic. Others refer by this form.
• Kidney Transplant Evaluation

• eGFR >60ml/min/1.73m² & UACR <30mg/g.
• Urinary tract Infection
• Pyelonephritis
• Hydronephrosis (Consider Urology referral)
• Simple Cyst(s) (without hereditary kidney disease)
• General Kidney Health
• Angiomyolipoma (Consider Urology referral)
• Adrenal adenoma (Consider Endocrinology referral)
• Presumed or diagnosed Pheochromocytoma (Consider Endocrinology referral)
• Preventive Kidney Health
• Kidney Mass/Lesion/Complex cyst (Urology referral)
• Dysfunctional voiding
• Dysfunctional elimination syndrome
• Enuresis
• Penile or bladder abnormalities in absence of kidney abnormalities

If you are a provider in the UNC Health System and have a simple question, you may place an E-consult for the following conditions. Providers outside of the UNC health system can review the suggested guidelines/Carepathway links.

• eGFR 45–60 ml/min/1.73m² and/or UACR 30-299 mg/g (with comorbid DM). Review CKD carepathways and CKD management goals. 
• eGFR 30–60 ml/min/1.73m² and/or UACR 30-299 mg/g (without comorbid DM). Review CKD carepathways and CKD management goals. 
• Minor electrolyte abnormalities. Review hyperkalemia management. 
• Use of SGLT2i in CKD. Review guidelines.
• Risk of use of Iodine or Gadolinium-based contrast in CKD
• Medications use in CKD. Review CKD management goals.
• Perioperative medications management with CKD
• Hyperuricemia/Gout and CKD
• Use of Cystatin C vs. Creatinine vs. measured GFR estimation
• Hypertension – uncontrolled on < 3 medications. Review the hypertension handbook. 
• CKD stage II in pregnancy (eGFR > 60ml/min prior to pregnancy or Cr < 1.0mg/dl before 20 weeks)
• Proteinuria less than 0.5g by 24hr urine or urine protein-to-creatinine ratio in pregnancy
• Others

The above criteria for e-consults are a general reflection of conditions that may be managed via e-consult. Please also review criteria for in-person referral. If a referring provider believes that a patient needs to be seen in clinic, please give us a call at 984-974-5706, and one of the nephrologists will be happy to discuss further.