Resource Library

The State of Michigan has confirmed that portions of Wayne County (zip codes 48230 and 48236) have statistically significantly higher rates of breast cancer than other similar communities in Michigan. see the report

Are other cancers in this area also higher than average? To answer this question LocalMotion is developing a cancer mapplotting cancer diagnoses and deaths in Grosse Pointe.

The following information is being gathered for Cancer Map use only. The information will not be shared with others or used for any other purpose. If you would like to be put on our mailing list please be sure to check the last box on the form.

If you would like to help, please send as much of the following information as you can:

Current street address of the person with cancer:

Street:
City: State: Zipcode:
Number of years at residence:

Childhood address of person with cancer:

Street:
City: State: Zipcode:
Number of years at residence:

Any additonal previous residences:

Street:
City: State: Zipcode:
Number of years at residence:

Gender: Female Male

Age at diagnosis: Current Age:

The type of cancer:

Did cancer cause this person's death: Yes No
If yes: Age at death:

For our documentation, please include:

Your name:

Your address:

Street:
City: State: Zipcode:

Phone number:

Please add me to the mailing list:

Please share any suggestions or comments with us:

please read our privacy policy

Submit your information by hitting the submit button, or by printing and mailing the form to the below address. You can also fax the form, or call our office to give the information over the phone.

LocalMotion
16824 Kercheval Place
Suite B100
Grosse Pointe, Michigan 48230

Phone: (313) 881-2263
Fax: (313) 881-2293