Michigan Abilities Center
Volunteer Opportunities
Volunteer's Application Form
History & Referral Forms
Client Information Forms & Health Care Provider Referral Forms required to apply to the Michigan Abilities Center
are provided below in a Microsoft Word format, with the expection of the Prescription Form, which is a PDF file.
The PDF file can be opened using Adobe Reader, which may be downloaded free by clicking the link below.
(NOTE: When the pop up box appears, select Adobe Reader to open the Prescription Form.)
Click here to download the Adobe Reader
- Client Information Forms
- Emergency Medical Treatment Authorization
- Participant's Health History
- Participant's Information
- Health Care Provider Referral Forms
- Physician's Medical History
- Prescription Form
(please complete the forms listed below*)
(please have your physician complete the forms listed below*)
*Please send the completed participant's and physician referral forms by mail, email, or fax to:
Michigan Abilities Center7286 W. Ellsworth Road, Ann Arbor, MI 48103
Phone number: (734) MAC-9500, Fax number: (734) MAC-9555
Email: MACinfo@MichiganAbilitiesCenter.org