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UMHS Home/Logo Consult Request Guidelines

for Hematology

Suggested Pre-Referral Evaluation and Management Guidelines Refer directly to Adult Hematology Clinic. Referral should be made after diagnosis is lab proven by more then one episode
Suggested Additional Test/Management Prior to Specialty Visit Copy of labs, radiology/pathology reports; physician notes or legible summary letter pertaining to diagnosis; chemo records when applicable; these must be received BEFORE an appointment can be made. Pathology slides and/or radiology films may be brought by the patient or Fed-Ex'd to us by appointment time.
Patient Education/Information (includes preps)

For patient information including pre-appointment forms, maps & directions, participating insurance plans, and support:

Appointment Timeframe Varies between diagnosis & provider
How to Get Results to Consultant

UMHS patients: See MiChart
External Patient: Fax to: 734-647-8664

UPS/Fed Ex films and slides to:
UM Cancer Center
B1-358 Reception B
1500 E. Medical Center Drive
Ann Arbor, MI 48109

Clinic Contact Information Physicians: 800-962-3555
Patient: 734-647-8901
Clinic Location Sites Comprehensive Cancer Center
Canton Health Center
UM Consulting Physician Asra Z. Ahmed, M.D.
Paula L. Bockenstedt, M.D.
Harry P. Erba, M.D., Ph.D.
Scott D. Gitlin, M.D.
Mark S. Kaminski, M.D.
Lisa A. Kujawski, M.D.
Sami N. Malek, M.D.
Samuel M. Silver, M.D., Ph.D.
Moshe Talpaz, M.D.
Revised on: 02/10/2015