Info for Referring Physicians

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	Consult Request Guidelines for Hemophilia & Coagulation Disorders	Print This Page Close Window

Hemophilia & Coagulation Disorders
Suggested Pre-Referral Evaluation and Management Guidelines
Suggested Additional Test/Management Prior to Specialty Visit	Bleeding Disorders Adult Prior to Specialty visit: PT / PTT, repeated a second time if elevated Bleeding Disorders Pediatrics Prior to Specialty visit: None required Clotting Disorders Prior to Specialty visit: None required
Patient Education/Information (includes preps)	For patient information including pre-appointment forms, maps & directions, participating insurance plans, and support: http://www.cancer.med.umich.edu/patients/index.shtml
Appointment Timeframe	Adults - 3 to 4 months (unless urgent) Pediatrics - 2 to 3 weeks (unless urgent)
How to Get Results to Consultant	UMHS patients: See CareWeb External Patient - Fax to: 734-936-5953 Mail to: UMHS - Hemophilia & Coagulation Disorders Attention - Dianne Hatfield, Program Coordinator 1500 E. Medical Center Drive SPC 5235 Ann Arbor, MI 48109-5235 Records required: Bleeding Disorders: Diagnostic lab studies Inpatient/outpatient hospital records for treatment of bleeding episodes Dictated summary of patient's condition Clotting Disorders: Diagnostic Lab Studies Only recent PT/INR Doppler reports (no films) CT reports if any(no films) Inpatient/Outpatient hospital records clotting episodes (DVT, PE, Arterial clotting) Dictated summary of patient's condition
Clinic Contact Information	Physicians: 800-962-3555 Patient: New Patients: 734-936-6393 or 734-647-8901 option #3 Return Visit Patients: 734-936-6393 or 734-647-8901 option #3 FAX: 734-936-5953
Clinic Location Sites	Adult Hemophilia and Coagulation Disorders Pediatric Hemophilia and Coagulation Disorders
UM Consulting Physician	Adult Hemophilia and Coagulation Disorders Faculty Pediatric Hemophilia and Coagulation Disorders Faculty
Revised on:	10/26/2010