Save time when visiting the office! Complete any needed forms
before your visit and send them to us or bring them in with you!
You may securely upload and send us completed documents below.
You may also email completed forms to firstname.lastname@example.org or
fax them to us at 989-502-1212.
***Please remember that even though we use Gsuite which is secure, likely your personal email is NOT HIPAA secure, so please email at your own risk.***
Consent to Treat Minor
Pre-School/Head Start Health Form
Cosmetic Injection Intake Form