Free literature is mailed upon request. If you are seeking information about a specific type of cancer, please see Learn About Cancer . For information on University of Michigan patient care services see Understand Our Services .
All correspondence is confidential.
The information you send through this form will go directly to a knowledgeable cancer nurse who will respond promptly. Patient Self-Referral Form Please complete this form if you are ready to schedule a new patient appointment. By completing this form, you will have initiated the new patient appointment process. A cancer staff member will contact you by phone within 2 business days to collect any additional information that may be needed prior to confirming your appointment.