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Henry Ford Medical Center Wood haven 22505 Allen Rd. Wood haven, MI 48183 Phone: 7346716217 Name: MAN: DATE: TIME: DAY: PROVIDER: Department: If you are unable to make your appointment or need to
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Visit the Henry Ford Medical Center website or go to the nearest center location.
02
Locate the "Patient Forms" section on their website or ask the receptionist for the required forms.
03
Download and print the necessary forms, such as the patient registration form, medical history form, and insurance information form.
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Fill out the patient registration form with accurate personal details, including your full name, date of birth, address, and contact information.
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Complete the medical history form by providing information about any past medical conditions, surgeries, allergies, medications, and family medical history.
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If you have health insurance, fill out the insurance information form to provide details about your insurance provider, policy number, and any other necessary information.
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Make sure to review all the forms carefully before signing them. If you have any questions, don't hesitate to ask the staff for assistance.
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Once you have filled out the forms, bring them with you to your appointment at Henry Ford Medical Center.

Who needs Henry Ford Medical Center:

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Individuals looking for high-quality healthcare services provided by a reputable medical institution
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People seeking specialized medical care from trained and experienced healthcare professionals
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Anyone in the communities served by Henry Ford Medical Center who requires medical diagnosis, treatment, prevention, or management of various health conditions.
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The purpose of Henry Ford Medical Center is to document and track the patient's medical information for treatment and billing purposes.
Information such as patient demographics, medical history, medications, lab results, and treatment plans must be reported on Henry Ford Medical Center forms.
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Woodhaven 1-800-HENRY MRN HFHS-28-6188-0412WOODHAVEN PROVIDER

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