Free Health Assessment Appointment Request Form
The Advanced Technology Academy is please to support the community with a FREE Health Assessment conducted by Henry Ford Health.  This service is FREE to all participants, no health insurance is required, and no medical bills will be issued.  All participants will be seen by a licensed Henry Ford Health medical team, and receive follow-up care instructions including health recommendations and Doctor referrals.

For your convenience, all health assessments will be administered in the Academy's on-campus Health & Wellness Center starting in late February, 2024.  

HEALTH ASSESSMENT INCLUDE:
  • Cholesterol Check
  • Glucose & A1C Check
  • Physical Exam with Health History
  • Vitals, Height & Weight
  • Range of Motion
  • Body Mass Index
  • Health Risk Appraisal
  • Vision Check
  • Anxiety & Depression Screening by a Licensed Behavioral Specialist
  • Blood Test *
  • Whisper Test *
  • Camplete Metabolic Panel *
* Adult Assessment Only

Student health assessments will be held during the school day. No appointment needed.
Adult family and staff assessments will be held Tuesday through Thursday, from 3:00 pm - 6:00 pm - by appointment only. All appointments will take approximately 20-30 minutes.

To schedule your FREE Health Assessment complete the form below.  Please choose the 3 best dates and times you prefer as appointment dates and times are limited. You will receive a follow-up confirmation of your scheduled appointment.

NOTE: All participants are required to fill out the attached waiver prior to your visit. (English | Spanish)

If you have any questions contact Angela Frazier, ATA School Nurse Assistant at 313-625-4761 or email afrazier@atafordpas.org
First and Last Name: *
Email: *
Phone Number: *
FIRST CHOICE (Preferred) Date you would like to schedule: *
Appointments are only available Tuesdays-Thursdays, from 3:00pm-6:00pm.
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FIRST CHOICE (Preferred)  Select a time: *
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