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PATIENT FORMS

We ask all new patients to complete a medical history, a patient information form, and to review and sign our HIPAA form when you check in for your first appointment.  To expedite this check in process, you can print and complete these forms ahead of time and bring them to your first appointment.

 

You will need Adobe Reader in order to view and print these forms.

The Medical Records Release form below is not needed to be completed by most patients. You will be directed by our staff to download and complete this form if necessary.

Parents/Guardians this form has been prepared for your convenience in the event that you are unable to accompany your minor (under the age of 18) child to their appointment.  

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CONTACT US

Our Address

3643 W Front St. Suite A, Traverse City, MI 49684
p. (231) 935-0620    
f. (231) 935-0626

Opening Hours

Monday - Thursday 8AM - 4PM 

Friday 8AM - 3PM

 

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