Office Policy Effective 06/01/2021

ALL individuals regardless of vaccination status MUST wear a mask. We are following the current recommendations of MDHHS for healthcare facilities.

1 support person over the age of 16 is now welcome (for both procedures and routine visits) if they screen negative for symptoms and exposure.

Patient Forms

Patient Forms

Please print off forms below and bring the filled out forms to our office for your appointment along with your insurance card:

Established Patient – Pregnant

 

The Pregnancy Checkup

The pregnancy checkup is a quick survey that will help your doctor care for you while you are pregnant. Your doctor would like you to complete the survey before you come to our appointment. Visit http://TINYURL.COM/HT2-MMOB to complete the survey. This survey takes approximately 20 minutes.

 

If you would like copies of your medical records or are transferring to a different health care provider and need records sent, please print and fill out form below and send to your new provider or fax to our office at (989)631-4398:

Medical Records Release

 

Please review the telemedicine consent and sign it. Your provider will ask that you show it to them at the start of your appointment:

Telemedicine Consent

 

SEEK Program in Midland County

SEEK