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UMHS Home/Logo Consult Request Guidelines

for Facial Paralysis

Facial Paralysis
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.
Suggested Additional Test/Management Prior to Specialty Visit  
Patient Education/Information (includes preps)  
Appointment Timeframe Next Available
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:
Dominos Farms
24 Frank Lloyd Wright Dr.
Lobby A, PO Box 441
Ann Arbor, MI 48106-5735
Clinic Contact Information Physicians: 800-962-3555
Patient: 734-998-6022
Clinic Location Sites Dominos Farms
UM Consulting Physician Plastic Surgery Physicians/Providers
Revised on: 12/19/2014