Request a Orthopedic Oncology Appointment

If you have been diagnosed with a bone tumor and would like to be seen by a Henry Ford specialist, complete the following form. You will be contacted within one business day.

Please provide as much of the requested information as you can so that the specialists reviewing your case are prepared as possible.

* Asterisk indicates required field.

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Enter MM/DD/YYYY format
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Type of Tumor
Do you have a bone or soft tissue tumor/mass?

Have you begun any treatment?

If you have had treatment, have you had chemotherapy?

Is this a recurrence?

Do you have MRI or CT images available?

Do you have body bone scan images available?

Do you have x-ray images available?

Do you have PET scan images available?

Physician and Insurance Information
 
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Request a bone and muscle cancer appointment

Schedule Appointment Online

Please call 911 if you have an emergency or urgent medical question.

If you are having symptoms of COVID-19, for your safety, please select a MyChart video visit on demand or call your primary care provider. For symptoms of COVID-19, please visit our website www.henryford.com/coronavirus.

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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