Patient History Form
Please carefully read and complete the form to the best of your knowledge at least one week prior to your visit. Additionally, please mail, email or fax any relevant medical records (Mail: 2799 West Grand Blvd. K11 Department of NeuroSurgery Detroit, Michigan 48202; fax to (313) 916-7139 and bring any imaging disks for X-rays, CT scans, MRIs etc. with you to the appointment. Do not hesitate to contact us with any questions at (313) 916-2723.