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UMHS Home/Logo Consult Request Guidelines

for Sex Reassignment Surgery

   
Sex Reassignment Surgery
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.
5) Evidence of compliance with standards of care according to the World Professional Association for Transgender Health.
Ph. 734-763-0466
Fax No. 734-615-7772
Suggested Additional Test/Management Prior to Specialty Visit As per requirements of UMHS Comprehensive Gender Services Program (UMHS-CGSP)
Patient Education/Information (includes preps) Provided by Program.
Appointment Timeframe Next Available; Patients MUST be referred by UMHS Comprehensive Gender Services Program (UMHS-CGSP), no self or outside referrals can be scheduled without approval from Dr. Kuzon.
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients: Send records to:
UMHS 300 North Ingalls Room NI4D-21
Ann Arbor, MI 48109-0475
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