Request for Adult Seeking Access via Guardianship

*Indicates required information

important notice

Important | For Permanent Legal Guardianship:
The requestor must provide the court order for Permanent Guardianship.

Guardian Information

Patient Information

In order to claim your invitation, you will need to remember your challenge question answer.

Legal Documents Required:

Please upload or mail to:
Medical Records Department
c/o Patient Portal
4160 John R St.
Detroit, MI 48201

Please allow time for delivery and processing.