| CONSULT REQUEST GUIDELINES
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Tobacco Treatment
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| Suggested Pre-Referral Evaluation and Management Guidelines |
Refer patients needing or ready to quit the use of tobacco.
Group and individual programs are available
- Groups are 8 sessions in 7 weeks.
- Individual program includes five sessions with a counselor.
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| Suggested Additional Test/Management Prior to Specialty Visit |
Contact physician regarding tobacco treatment medication
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| Patient Education/Information (includes preps) |
Program is free to all U-M employees, U-M Premiere Care, members, and UMHS patients with clinician referral.
Cost $100 for all others
Physician's Toolkit
You Can Stop Smoking
Health Education Resource Center |
| Appointment Timeframe |
Referrals will be contacted by phone within 48 hours.
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| How to Get Results to Consultant |
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| Clinic Contact Information |
MHealthy Tobacco Consultation Service:
2025 Traverwood, Suite A3, Ann Arbor
734-998-6222
734-998-2191 fax
Referral form:
www.mhealthy.umich.edu/tobacco |
| Clinic Location Sites |
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| UM Consulting Physician |
2025 Traverwood, Suite A3, Ann Arbor
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| Revised on: |
09/06/2012 |
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800-962-3555
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