CONSULT REQUEST GUIDELINES                                                                         Print

Ventral Hernia

Suggested Pre-Referral Evaluation and Management Guidelines 1) Past medical history pertinent to condition.
2) Complete surgical history.
3) Past operative notes specific to condition.
4) Past medical history for co-morbidities.

Patient must be evaluated by General Surgery before being referred to Plastic Surgery.

Referring physician needs to be specifically asked if this patient has a ventral hernia and if so, then general surgery first.
Suggested Additional Test/Management Prior to Specialty Visit Abdominal CT (must be done prior to appointment; bring copy on CD if done outside UM system)
Patient Education/Information (includes preps)  
Appointment Timeframe Next Available
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients: Outside records are preferred before appointment date. Fax To: 734-998-9139
or send to:
Dominos Farms
24 Frank Lloyd Wright Dr.
Lobby A, PO Box 441
Ann Arbor, MI 48106-5735
Clinic Contact Information Physicians: 800-962-3555
Patient: 734-998-6022
Clinic Location Sites Dominos Farms
UM Consulting Physician David Lawrence Brown MD
Paul Stephen Cederna MD
Robert Harris Gilman MD
Steven Carl Haase MD
Jeffrey Hall Kozlow MD
William Michael Kuzon Jr MD
Adeyiza Olutoyin Momoh MD
Edwin Grant Wilkins MD
Revised on: 03/24/2014



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