U-M Medical School
U-M School of Nursing
Departments & Programs
CONSULT REQUEST GUIDELINES
Sex Reassignment Surgery
Suggested Pre-Referral Evaluation and Management Guidelines
Past medical history pertinent to condition.
Complete surgical history
Past operative notes specific to condition.
Past medical history for co-morbidities.
Evidence of compliance with standards of care according to the World Professional Association for Transgender Health.
Suggested Additional Test/Management Prior to Specialty Visit
As per requirements of UMHS Comprehensive Gender Services Program (UMHS-CGSP)
Patient Education/Information (includes preps)
Provided by Program.
Next Available; Patients MUST be referred by UMHS Comprehensive Gender Services Program (UMHS-CGSP), no self or outside referrals can be scheduled without approval from Dr. Kuzon.
How to Get Results to Consultant
UMHS Patients: See MiChart
External Patients: Send records to:
UMHS 300 North Ingalls Room NI4D-21
Ann Arbor, MI 48109-0475
Clinic Contact Information
Clinic Location Sites
UM Consulting Physician
Plastic Surgery Physicians/Providers
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Obstetrics and Gynecology
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