Print This Page     Close Window Consult Request Guidelines for Hiatal hernia and/or gastroesophageal reflux (GERD)     Hiatal hernia and/or gastroesophageal reflux (GERD) Suggested Pre-Referral Evaluation and Management Guidelines UMHS Clinical Care Guideline Suggested Additional Test/Management Prior to Specialty Visit Required reports: Pertinent medical history Any prior esophageal operative and EGD reports Possible tests that could be requested: Esophageal manometry Pulmonary function tests - Full Set with ABG's - if patient has >20 pack-year history of cigarette smoking PH reflux testing Barium swallow Patient Education/Information (includes preps) GI/GU Test Preps Appointment Timeframe 4 weeks Please complete Outpatient Consult Request Form and fax to 734-936-6927 How to Get Results to Consultant UMHS Patients: See CareWeb External Patients: Hand carry films or CDs and slides to appointment; fax reports prior to appointment to 734-936-6927 Clinic Contact Information Physicians: 800-962-3555 Patients: 734-936-5738 Clinic Location Sites Taubman Health Center UM Consulting Physician Jonathan F. Finks, MD Rebecca Manget Minter, M.D. Revised on: 03/22/2010