Referring Physicians

Dear Colleague:

Thank you for referring your patient to the University of Michigan Health System’s Department of Orthopaedic Surgery. We value our relationship with you and appreciate your confidence in our service and staff.

It is our goal to provide your patient with the highest quality of care in the most efficient manner. To expedite the referral process, we would appreciate your assistance in providing us with the following information:

• Request for Consultation form
• Office Notes (related to Orthopaedic Surgery diagnosis)
• Diagnostic Reports (X-Ray, MRI, and other Radiology reports)
• All films should be hand carried by patient to their clinic appointment
• A referral or authorization for the visit from the primary care physician should be faxed with the Request for Consultation form

As soon as we receive this information, our staff physicians will review the medical documentation to determine the appropriate clinic and appointment date for your patient. On average, this process may take between 7-10 working days. If we do not receive completed information, it may delay the referral process.

Once the appointment has been scheduled, we will contact the patient by telephone or mail. You will also receive an outpatient appointment notification via fax for your office records.

For your patient’s convenience, we are now located in your community:

Location Clinic # Fax # Patient Type Brighton Orthopaedics 810-225-8677 810-225-9322 Adult & Pediatric Orthopaedics Canton Orthopaedics 734-844-5400 734-844-5290 Pediatric Orthopaedics Cancer/Geriatrics Center, Ann Arbor 734-647-8902 734-647-8689 Musculoskeletal Oncology MedSport - Domino’s Farms, Ann Arbor 734-930-7400 734-930-7337 Sports Injuries Shoulder Specialist Chronic Knee Pain Primary Care Sports MedSport – Brighton 810-225-8677 810-225-9322 Primary Care Sports Pediatric Orthopaedics South Main Orthopaedics, Ann Arbor 734-998-6541 734-998-6562 Hand & Upper Extremity Taubman Center, Ann Arbor 734-936-5780 734-615-8568 Adult & Pediatric Orthopaedics Foot & Ankle Clinic Joint Reconstructive Spine Trauma M-LINE: 1-800-962-3555

Again, we greatly appreciate your confidence in referring your patient to our service.

Cordially,

James E. Carpenter, M.D.
Professor and Chairman
Department of Orthopaedic Surgery