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Henry Ford Health System fax number

(248) 325-2048

Normal Pressure Hydrocephalus (NPH) Program / NPH Clinic

Used for: NPH referral form submission; sending screening tool and patient data for evaluation

Fax destination details

Department
Normal Pressure Hydrocephalus (NPH) Program / NPH Clinic
Purpose
NPH referral form submission; sending screening tool and patient data for evaluation
Form
NPH Referral Form — NPH Referral Form
Address
6777 W Maple Rd, West Bloomfield, MI 48322; 2799 W Grand Blvd, Detroit, MI 48202
Voice phone
(248) 325-0019

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Fax the screening form to the NPH Clinic staff (attn: Toni/Carol). Include required labs and imaging; results may be sent to NPHClinic@hfhs.org. For current submission details, refer to Henry Ford's NPH Referring Physician Resources page.

Review official form instructions

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