Suggested Pre-Referral Evaluation and Management Guidelines
1) Past medical history pertinent to condition.
2) Complete surgical history.
3) Past operative notes specific to condition.
4) Past medical history for co-morbidities.
Patient must be evaluated by General Surgery before being referred to Plastic Surgery.
Referring physician needs to be specifically asked if this patient has a ventral hernia and if so, then general surgery first.
Suggested Additional Test/Management Prior to Specialty Visit
Abdominal CT (must be done prior to appointment; bring copy on CD if done outside UM system)
Patient Education/Information (includes preps)
How to Get Results to Consultant
UMHS Patients: See MiChart
External Patients: Outside records are preferred before appointment date. Fax To: 734-998-9139 or send to:
24 Frank Lloyd Wright Dr.
Lobby A, PO Box 441
Ann Arbor, MI 48106-5735