Section of General Surgery

Online Patient Appointment Request

Questions? Contact the General Surgery call center at 734-936-5738.

This is for only non-emergency adult visits. Expect a call in one business day.
Your appointment will be scheduled during the call. A mailed appointment confirmation letter and directions will follow.

* indicates required fields

Patient Information * Last Name:      * First Name:

Physician:

Division:

* What number should we try to reach you?

Is there a second number you'd like us to try?

What time are you most easily reached at your preferred number?

What time are you most easily reached at your secondary number?

I'd like to:

Schedule a new appointment

Reschedule an appointment on

Cancel an appointment on

       Reason for cancellation

Electronic Mail is not secure, may not be read every day, and should not be used for urgent or sensitive issues.