CONSULT REQUEST GUIDELINES                                                                         Print

Hiatal hernia and/or gastroesophageal reflux (GERD)

Suggested Pre-Referral Evaluation and Management Guidelines UMHS Clinical Care Guideline
Suggested Additional Test/Management Prior to Specialty Visit Required reports:
  • Pertinent medical history
  • Any prior esophageal operative and EGD reports
Possible tests that could be requested:
  • Esophageal manometry
  • Pulmonary function tests - Full Set with ABG's - if patient has >20 pack-year history of cigarette smoking
  • PH reflux testing
  • Barium swallow
Patient Education/Information (includes preps) GI/GU Test Preps
Appointment Timeframe 4 weeks
Please complete Outpatient Consult Request Form and fax to 734-936-6927
How to Get Results to Consultant UMHS Patients: See CareWeb
External Patients: Hand carry films or CDs and slides to appointment; fax reports prior to appointment to 734-936-6927
Clinic Contact Information Physicians: 800-962-3555
Patients: 734-936-5738
Clinic Location Sites Taubman Health Center
UM Consulting Physician Jonathan F. Finks, MD
Rebecca Manget Minter, M.D.
Revised on: 03/22/2010



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