Worksite Health & Well-Being: Health Screening Request Form

Thank you for your interest in our health screening services. Please note that we are not providing health screenings in 2021 but are accepting requests for 2022.

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Today's Date
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Event information
Desired date of health screening event (the year must be 2022)
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Health Screening Services

Please note: Participants must be 18+ years old

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Already a Henry Ford patient?
For the best experience, existing Henry Ford patients can request and self-schedule appointments through Henry Ford MyChart.

Henry Ford Health System is committed to ensuring our Deaf or hard-of-hearing patients and visitors have equal access to all services. We provide the appropriate auxiliary aids and services, including qualified sign language interpreters, TTYs and other assistive listening devices, at no cost. To request assistance, call 313-916-1896 or email [email protected].

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