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University of Michigan Health / Michigan Medicine – Gastroenterology Clinic (GI Clinic) fax number

(734) 936-5458

Gastroenterology

Used for: GI consultation requests; submission of medical records and managed care referrals

Fax destination details

Department
Gastroenterology
Purpose
GI consultation requests; submission of medical records and managed care referrals
Form
Consultation Request Form — GI Consultation Request Form
Address
1500 East Medical Center Drive, Ann Arbor, MI 48109-5358
Voice phone
734-647-5944

Before you send

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  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
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Fax the completed GI Consultation Request Form, relevant medical documentation, and any managed care referral to 734-936-5458.

Official form instructions are published as a downloadable file on the organization's website.

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