Patient Forms

By reading and completing this paperwork before your appointment, you will significantly reduce your time in the clinic.

Please have any questions ready for the patient advocate when you come in.

If you have questions or would like to speak to a counselor prior to coming in, please don’t hesitate to call us.

800-447-7354

No Test Medication Abortion Screening

General Forms

HIPAA Notice

Read our notice of health information privacy practices.

Homecare Packet for Abortion Pill

Please read through. Print out if you would like to keep a hardcopy at home.

Homecare Packet for First Trimester Surgical

Please read through. Print out if you would like to keep a hardcopy at home.

Our Michigan Abortion Clinic Locations

Northland Family Planning - Soutfield

Southfield

24450 Evergreen Rd.,
Southfield, MI 48075

248-559-0590
More Info
Northland Family Planning - Soutfield

Sterling Heights

3810 17 Mile Rd. #1
Sterling Heights, MI 48310

586-268-1700
More Info
Northland Family Planning - Soutfield

Westland

35000 Ford Rd.,
Westland, MI 48185

734-721-4700
More Info

Abortion in Michigan

Learn more about getting an abortion in Michigan