Summit is still LEGALLY providing abortion care.

To request an appointment for an abortion, please fill out the following form or call (313) 272-8450.

After requesting an appointment online, we will contact you as soon as possible, usually by the next morning. If you have not heard from us after 24 hours, please contact us.

Appointment Detroit

Today's Date*
MM slash DD slash YYYY
Patient's Full Name*
First Last
Patient's Date of Birth*
MM slash DD slash YYYY
Preferred Method of Contact*
- Phone
- Email
Patient's Phone Number*
Patient's Email Address*
Please indicate your method of payment*
- Uninsured / Self-Pay
- Private Health Insurance
- Medicaid
Patient's Last Normal Period*
MM slash DD slash YYYY
Type of Appointment*
Request Day*
Requested Time*
Medical Conditions: Please include allergies, medications, or medical conditions
Patient's Notes
How did you hear about us?*
To validate this request enter the numbers and letters you see on the right

Confidentiality Notice
The information asked online is no different than what you would be asked over the telephone. Your information will be transmitted by secured, encrypted email. Though we make every effort to keep your information secure, it is still possible that the information you provide could be captured by individuals who are engaged in illegal internet observance. By providing and submitting your confidential information, you accept the risk of sending this information by email to Summit Centers’ personnel. When submitting by email, you also agree not to hold Summit Centers, including its employees or agents, liable for any damages you may incur as a result of the transfer or use of this information.

NOTICE: Users may not post or transmit any message that is libelous or defamatory, or violates any other person’s privacy rights or rights in other confidential information. Users may not post or transmit any message, data, image, or program with the intent to threaten the safety of others and/or with the effect of causing a reasonable person to perceive a threat to his or her safety.

Request An Appointment Detroit

Summit is still LEGALLY providing abortion care.

Appointment Detroit

ATLANTA

DETROIT