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SCLERODERMA PROGRAM
Division of Rheumatology

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Patient Referrals

Department of Internal Medicine
Division of Rheumatology
1500 East Medical Center Drive
Ann Arbor, MI 48109-5422
M-LINE: 1-800-962-3555
Clinic: 734-647-5900 Fax: 734-936-8067
_____________________________________________________________________


Dear Colleague:

Thank you for referring your patient to the University of Michigan Health System’s Department of Internal Medicine, Division of Rheumatology. 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 completing the Request for Consultation Form and providing us with the following information:

  • Office Notes including current blood work and doctor notes that relate to Rheumatologic diagnosis. (written or dictated notes are essential)
  • Diagnostic Reports (all films should be hand carried by patient to their clinic appointment)
  • If you have a managed care insurance provider, a referral is required BEFORE an appointment can be scheduled. For insurance that requires a referral or authorization from the primary care physician, please fax the referral to our document control center at 734-936-8067.
  • Click here to download a Request for Consultation form. (PDF)

The information above listed is required before an appointment can be scheduled. As soon as we receive this information, our office will review the medical documentation to determine the appropriate clinic for scheduling. This process may take between 5-10 working days. If we do not receive completed information, it may delay the referral process, or scheduling.

Once the appointment has been scheduled, we will mail an appointment notice to the patient.

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

Cordially,

David A. Fox, M.D.
Professor and Division Chief, Rheumatology

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