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.
Suggested Additional Test/Management Prior to Specialty Visit
Patient Education/Information (includes preps)
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:
24 Frank Lloyd Wright Dr.
Lobby A, PO Box 441
Ann Arbor, MI 48106-5735