CONSULT REQUEST GUIDELINES                                                                         Print

Pediatric Hematology
(Anemia (all forms), Chronic Granulomatous Disease (CGD), Chediak-Higashi Syndrome, Eosinophilia, Erythrocytosis, Fanconis, Fibromatosis, Histiocytosis, Hyperbilirubinemia, Idiopathic Thrombocytopenia Purpura (ITP), Kostmans Syndrome, Leukopenia, Lymphadenopathy, Lymphoproliferative Disease, Mylodisplastic Syndrome, Neutropenia (all forms), Polycythemia, Sickle Cell Disease, Spherocytosis, Splenomegaly, Thalassemia, Thrombocytopenia, Thrombocytosis)

Suggested Pre-Referral Evaluation and Management Guidelines Contact: Pediatric Hematology/Oncology Clinic at 734-936-9814
Suggested Additional Test/Management Prior to Specialty Visit Records needed to schedule:

Any labs, physician notes, slides or films, pertaining to diagnosis must be received BEFORE an appointment can be made.
Patient Education/Information (includes preps)  
Appointment Timeframe 1-2 weeks
How to Get Results to Consultant

UMHS patients: See CareWeb
External patients:
Fax records to 734-647-8664
UPS / Fed Ex films and slides to:

Lorri Hanton
Clinic Coordinator
UM Cancer Center
B1-358 Reception B
1500 E. Medical Center Drive
Ann Arbor, MI 48109
Clinic Contact Information Physicians: 800-962-3555
Patient: 734-936-9814
Clinic Location Sites UM Comprehensive Cancer Center
UM Consulting Physician Pediatric Hematology/Oncology Faculty
Revised on: 06/16/2010
 
 

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