Request an Appointment

Please use this form to request a non-urgent appointment at one of our Henry Ford locations. Appointments are processed in one to two business days. Please note that this function is not for urgent appointments or for appointments you may need today. If you are having an emergency, call 911 or go to your nearest emergency room. If you are an existing Henry Ford patient and have access to our MyChart system, your appointment request can be made by logging into that system directly.
How Can We Help You?
*
*
*
Patient Information
*
*
Enter MM/DD/YYYY format
*
*
*
*
*
*
*
Insurance Information
*
Contact Name
 

MyChart

Henry Ford MyChart: all online and all for you.

Learn More

LiveWell Blog

Wellness is a journey. Get tips from Henry Ford experts to keep you on track.

Read More