Initial Application App Central Request Form

This link is no longer available. Please contact the medical staff office for assistance:

Henry Ford Hospital & Kingswood Hospital
Phone: 313-916-6991
Email: [email protected]

Henry Ford West Bloomfield Hospital
Phone: 248-325-1555
Email: [email protected]

Henry Ford Macomb Hospital
Phone: 586-263-2957
Email: [email protected]

Henry Ford Wyandotte Hospital
Phone: 734-263-2957
Email: [email protected]


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