Print This Page     Close Window Consult Request Guidelines for Gastroesophageal Reflux Disease     Gastroesophageal Reflux Disease Suggested Pre-Referral Evaluation and Management Guidelines 1) H2 blockers 2) PPI 3) Prokinetic Suggested Additional Test/Management Prior to Specialty Visit 1) UGI 2) Ph probe (if clinically indicated) Patient Education/Information (includes preps) 1) Nissen fundoplication 2) Prep: Prep for Pediatric Upper GI 3) Prep: ph probe Appointment Timeframe Next Available Appointment. Please complete Outpatient Consult Request Form and fax to 734-936-9784 How to Get Results to Consultant UMHS Patients: See CareWeb External Patients: Hand carry or fax records to 734-936-9784 Clinic Contact Information Physician: 800-962-3555 Patients: 734-764-4151 Clinic Location Sites C.S. Mott Children's Hospital UM Consulting Physician Pediatric Surgery Faculty Revised on: 03/22/2011