Section Menu

Patient Financial Assistance Program Documents

Patient Financial Assistance Program Documents — Henry Ford Health, Doctor's Offices and MSU Health Care

The following documents related to our policy and eligibility have been translated into many languages for your convenience.

Language	Policy	Plain Language Summary	Application	Amounts Generally Billed
English	View	View	View	View
Arabic	View	View	View	View
Chinese (Simplified)	View	View	View	View
Chinese (Traditional)	View	View	View	View
French	View	View	View	View
German	View	View	View	View
Greek	View	View	View	View
Gujarati	View	View	View	View
Hindi	View	View	View	View
Hmong	View	View	View	View
Italian	View	View	View	View
Japanese	View	View	View	View
Korean	View	View	View	View
Polish	View	View	View	View
Russian	View	View	View	View
Serbian	View	View	View	View
Spanish (Latin)	View	View	View	View
Tagalog	View	View	View	View
Urdu	View	View	View	View
Vietnamese	View	View	View	View

Contact the Financial Assistance Team at (313) 874-7800
Schedule an in-person appointment by calling (313) 916-4510. Business Office Hours are Monday-Friday 8:30am-5:00p

The following documents related to our policy and eligibility have been translated into many languages for your convenience.

Language	Policy	Summary Financial Assistance Policy	Application	Amounts Generally Billed	Billing and Collection Practices	Providers Covered by Financial Assistance Policy
English	View	View	View	View	View	View
Arabic	View	View	View	View	View	View
Chinese Traditional	View	View	View	View	View	View
German	View	View	View	View	View	View
Hindi	View	View	View	View	View	View
Japanese	View	View	View	View	View	View
Korean	View	View	View	View	View	View
Russian	View	View	View	View	View	View
Simplified Chinese	View	View	View	View	View	View
Spanish	View	View	View	View	View	View