Submit a Referral
Refer a Family to Kids’ Health Connections
If you would like to refer a family to KHC for services, you may download our referral form by clicking the “DOWNLOAD FORM” button below, and fax the form to (313) 659-3298. Or, you may submit your referral online using our NEW secure “Online Referral Form” below! (* denotes a required field)
Stay Connected
Kids’ Health Connections
3011 W. Grand Blvd., Ste 200
Detroit, MI 48202
Phone: (313) 863-2427
Email: info@khcmi.org
Kids’ Health Connections is a program of the 501(c)(3) Southeastern Michigan Health Association.