Contact a Pricing Specialist

To contact a pricing specialist fill out this form or call (888) 455-2678, staff are available Monday – Friday from 8 a.m. to 5 p.m.

Attention: Information obtained will not be used for any other purpose other than to provide estimated cost of services requested.

* Asterisk indicates required field.

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Contact Preference

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Do you have insurance?

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If no, are you a U.S. citizen?

If no, do you have a green card to indicate permanent residency status?

Existing Patient?


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Preferred facility/location:





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Has the service been scheduled?


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Schedule Appointment Online

** Check with your insurance carrier for coverage limitations.

If you can't find a date/time that works for you please call the provider’s office. Not all appointment types at all locations are available online.

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 CommunicationAccess@hfhs.org.

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