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Consult Request Guidelines
for Carpal Tunnel Syndrome
Carpal Tunnel Syndrome
Suggested Pre-Referral Evaluation and Management Guidelines
1)
Consultation request is for surgical intervention
2)
Past medical history pertinent to condition
3)
Bring EMG results to appointment or prior to appointment
Suggested Additional Test/Management Prior to Specialty Visit
EMG
Patient Education/Information (includes preps)
Appointment Timeframe
Next Available
How to Get Results to Consultant
UMHS Patients: See CareWeb
External Patients: Fax medical records to: 734-998-9139 or mail to Dominos Farms, Lobby A.
Clinic Contact Information
Physicians: 800-962-3555
Patient: 734-998-6022
Clinic Location Sites
Dominos Farms
UM Consulting Physician
Plastic Surgery Faculty
Revised on:
06/04/2009