Request a Referral

Henry Ford is committed to helping every patient find a physician that meets their needs. To get started, please complete the following form or contact us by calling us. Expect a follow-up within one business day.

This form is not intended to serve urgent needs. In the event of a medical emergency, always call 911.

*Asterisk indicates required field.

Get in Touch

For general questions, please call (586) 263-2300.

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