Physician Referral Services Resources

To report updates to a Physician profile please download the forms below and fax the completed forms to Physician Referral Service at 313-578-3212:

(Note: to download the forms below you will need your DMC userid/password)

  • Physician Profile Updates Request Form Instructions (PDF doc)
  • Physician Profile Updates Request Form (spreadsheet)

To participate in our Physician Referral Service Program please download the forms below and fax the completed forms to Physician Referral Service at 313-578-3214:

Contact Information

The Staff
DMC Health Access Center
Physician Referral Service
3663 Woodward Ave. Mailbox #55
Orchestra Place 4th Floor.
Detroit, MI 48201

Fax # 313-578-3212
Phone # 1-888-362-2500