About
Dr. Amy Elizabeth Miles, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in Kitchener, ON, she serves the surrounding communities with a commitment to high-quality, patient-centered care. Her practice adheres to the standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring that all services meet rigorous professional and ethical guidelines.
Dr. Miles graduated with a Medical Degree from the University of Toronto in 2016, followed by extensive postgraduate medical training in Internal Medicine and Geriatric Care. She has completed specialized certifications and fellowships, equipping her with the expertise to manage complex adult and senior health conditions comprehensively.
Her clinical philosophy is rooted in an evidence-based and informative approach, emphasizing thorough evaluation, personalized treatment planning, and multidisciplinary collaboration. She is dedicated to serving the adult population in Kitchener, including older adults and seniors, and communicates fluently in English to ensure clear understanding and effective care delivery.
Dr. Miles provides expert care for adults with a wide range of medical conditions, including:
Geriatric Syndromes & Focused Elder Care
- Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.
- Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
- Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.
Complex Diagnostic & Multi-System Issues
- Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
- Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
- Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
Select Infectious & Inflammatory Conditions
- Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.
- Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
- Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
Dr. Miles manages a wide range of complex adult and geriatric health conditions. This list highlights common areas of focus. If your condition is not listed, please note that internal medicine specialists address diverse and often multi-systemic diseases. Consultation is typically initiated via referral from your primary care physician.
- Comprehensive Diagnostic Assessment: In-depth evaluation for adults with complex, unclear, or multi-system medical conditions, involving detailed history, physical examination, and coordination of necessary investigations.
- Geriatric Psychiatry Liaison Support: Assessing and managing mood disorders (like depression, anxiety) and behavioral changes often associated with dementia or other conditions in older adults.
- Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
- Management of Complex Chronic Diseases: Ongoing care and treatment optimization for adults managing multiple chronic conditions such as diabetes, heart disease, kidney disease, hypertension, and respiratory illnesses.
- Falls Risk Assessment and Prevention: Identifying factors contributing to falls in older adults and implementing strategies to improve balance, strength, and home safety.
Note: This list represents some of the key services offered by Dr. Miles. As a specialist in Internal Medicine and Geriatric Care, she provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Miles's scope of practice, please discuss with your referring physician or contact the clinic.
All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO).
Dr. Miles practices in the Forest Heights area within the Forest Hill neighborhood of Kitchener. Her location is conveniently situated near Conestoga College (Doon Campus) and Doon Heritage Village, making it accessible for residents of the region. The practice is well-connected via Grand River Transit (GRT) bus routes and the ION Light Rail, facilitating easy access for patients. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Miles? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Miles are typically covered by your provincial health insurance (Ontario Health Insurance Plan (OHIP)) when you present a valid health card and have the required referral. You generally do not pay directly for the consultation service itself. Some specific procedures, forms, or administrative tasks might not be covered by Ontario Health Insurance Plan (OHIP) and may incur a separate fee according to provincial guidelines. Please inquire if you have questions about uninsured services.
- Can I book an appointment directly or do I absolutely need a referral?
- A referral from your family physician or another medical specialist is required to see Dr. Miles. As experts in Internal Medicine and Geriatric Care, Internists and Geriatricians see patients based on specific medical questions posed by the referring doctor. This ensures continuity of care and that the consultation is appropriate for your needs. Please have your doctor forward the referral information.
- What is involved in a Comprehensive Geriatric Assessment (CGA)?
- A CGA is a detailed evaluation specifically designed for older adults. It goes beyond standard medical checks to assess multiple domains including: medical conditions, medication review (polypharmacy), functional status (ability to perform daily tasks), mobility and fall risk, cognitive health (memory and thinking), mood (screening for depression/anxiety), nutrition, and social support systems. Dr. Miles uses this holistic approach to develop a personalized care plan.
- What is the appointment cancellation policy?
- We understand that unforeseen circumstances arise. If you need to cancel or reschedule your appointment, please provide at least 24-48 hours notice so we can offer the time slot to another patient waiting for consultation. Failure to provide sufficient notice may result in a missed appointment fee (if applicable per clinic policy). Please contact the office directly to make changes.
911 Queens Blvd
Kitchener, ON N2M 1B2
Phone: (519) 749-6425 | Fax: (519) 749-6498
The facility is wheelchair accessible.
Dr. Miles is a licensed physician regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Medicine Act, 1991 in ON. Patients are typically seen by referral from their primary care physician.
Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Miles-Amy-Elizabeth/0310725-109292