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UMHS Home/Logo Consult Request Guidelines

for Orthognathic Surgery

Orthognathic Surgery
Suggested Pre-Referral Evaluation and Management Guidelines If patient established with orthodontist: Name and address of Orthodontist and any orthodontic records
Suggested Additional Test/Management Prior to Specialty Visit 1) Panorex
2) PA and Lateral Cephelogram
3) Dental Models
Patient Education/Information (includes preps) Patient Resources
Appointment Timeframe Next Available
How to Get Results to Consultant UMHS Patients: See MiChart
External Patients: Hand carry non-UM records to visit
Clinic Contact Information Physicians: 800-962-3555
Patient: 734-763-8063 Fax:734-232-6973
Clinic Location Sites C.S. Mott Children's Hospital
UM Consulting Physician Plastic Surgery Physicians/Providers
Revised on: 12/19/2014