Documents


Patient Documents

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 Covid-19 Vaccination Information
PDF File Covid-19 - Moderna Vaccination Fact Sheets 
PDF File Covid-19 - Pfizer Vaccination Fact Sheets 
 
 Community Resources
PDF File Genesee County Community Resources 
PDF File Lapeer County Community Resources 
PDF File Livingston County Community Resources 
PDF File Oakland County Community Resources 
PDF File Saginaw County Community Resources 
PDF File Shiawassee County Community Resources 
PDF File Tuscola County Community Resources 
 
 Medical Record Release Forms
PDF File Authorization for Use or Disclosure of Health Information 
 
 Medicare Notifications
PDF File MSSP Beneficiary Notification 06-2023 
PDF File MSSP Beneficiary Notification 12-2023 
 
 Patient Forms
PDF File Patient Registration Form 
PDF File Workmen's Comp / Auto Accident Form 
 
 Privacy Practices
PDF File Notice of Privacy Practices 
 
   
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