Submit a Consult Request Online

Please read the following before submitting a request for consultation online:

  • Michigan Opioid Collaborative (MOC) enrolled providers are welcome to submit a consultation request. If you have not yet signed up for MOC, please sign an MOC agreement and send to 
  • You may submit the form anytime, however the consult will be returned during business hours: 9AM-5PM, Monday through Friday, excluding holidays.
  • Unlike same-day phone requests, online consult requests may take up to 24 hours to be processed.
  • Upon receipt of your online consultation request your regional Behavioral Health Consultant may contact you if additional information is required.

By clicking ‘submit a consult request online’ you will be required to fill out a form so we may collect information necessary to provide a consultation. Keep in mind that the quality of the information you provide helps the MOC consulting physician offer a more comprehensive consultation in partnership with you.