Demo New BHS Form

If you are having a medical or psychiatric emergency, please call 911 or go to your nearest emergency room.

Please use this form to request a non-urgent appointment at one of our Henry Ford Behavioral Health locations. One of our behavioral health experts will contact you within two business days to schedule your appointment.

* Asterisk indicates required field.

What type of appointment do you need?


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If you are requesting this appointment for someone other than yourself, please provide your name here
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