CONSULT REQUEST GUIDELINES                                                                         Print

Tobacco Treatment

Suggested Pre-Referral Evaluation and Management Guidelines

Refer patients ready to quit the use of tobacco (including cigarettes, smokeless tobacco, pipes, hookahs, and cigars) within the next 4 weeks.

Individual counseling is available. Support groups are available upon completion of the smoking cessation program.

  • Meet with a Tobacco Treatment Specialist for 6 sessions.
Suggested Additional Test/Management Prior to Specialty Visit Contact physician regarding tobacco treatment medication
Patient Education/Information (includes preps) Program is free to all U-M employees, U-M Premiere Care, members, and UMHS patients with clinician referral.

Provider’s Toolkit
You Can Stop Smoking
Appointment Timeframe Referrals will be contacted by phone within 48 hours.
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients: Hand carry non-UM records
Clinic Contact Information MHealthy Tobacco Consultation Service:
2025 Traverwood, Suite A3, Ann Arbor
734-998-2191 fax
Refer from MiChart Meds & Orders or Order Entry. Type 'Nicotine'.
Clinic Location Sites 2025 Traverwood, Suite A3, Ann Arbor
UM Consulting Physician  
Revised on: 10/02/2015



Appointments & Consultations



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