CONSULT REQUEST GUIDELINES                                                                         Print


Suggested Pre-Referral Evaluation and Management Guidelines Refer directly to Adult Hematology Clinic. Referral should be made after diagnosis is lab proven by more than one episode
Suggested Additional Test/Management Prior to Specialty Visit Copy of labs, radiology/pathology reports; physician notes or legible summary letter pertaining to diagnosis; chemo records when applicable; these must be received BEFORE an appointment can be made. Pathology slides and/or radiology films may be brought by the patient or Fed-Ex'd to us by appointment time.
Patient Education/Information (includes preps)

For patient information including pre-appointment forms, maps & directions, participating insurance plans, and support:

Appointment Timeframe Varies between diagnosis & provider
How to Get Results to Consultant

UMHS patients: See MiChart
External Patient: Fax to: 734-232-6560

UPS/Fed Ex films and slides to:
UM Cancer Center- Benign Hematology
300 n. Ingals St
RM 2B12
Ann Arbor, MI 48109

Clinic Contact Information Physicians: 800-962-3555
Patient: 734-647-8901
Clinic Location Sites Comprehensive Cancer Center
Canton Health Center

1540 E. Hospital Drive
C&W Childrens/Womens
Rm 8-770H
Ann Arbor, MI 48109

UM Consulting Physician Blood Disorders and Blood Cancers Team
Revised on: 10/01/2015



Appointments & Consultations



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