Type(s) of Information Requested: (You may select more than one option.)
Consumer / Patient Health Information Allied Health / Nursing Information Medical (Professional) Information Other (Specify)
Delivery Options:
Pick-Up Email Interoffice Mail U.S. Mail. Specify Full Address: Fax. Specify Number:
When you complete this form, press the "Submit Your Request" button.
Henry Ford Macomb Hospital Medical Library 15855 Nineteen Mile Road Clinton Township, Michigan 48038
(586) 263-2485 Voice (586) 263-2270 Fax Juliet Mullenmeister mullenmj@hfhs.org
Sladen Home | Site Index | Contact Us