ONLINE FORMS

To request Health Information Records, please complete and submit the applicable form.

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INFORMATION FORM

MEDICAL RECORDS RELEASE

MEDICAL RECORDS RELEASE

Use this form to request your records from Great Lakes Orthopaedic be sent to someone else. Be sure to complete the form in its entirety including the name, address, and fax number or email of the location where the records are to be sent. The form can then be faxed to 231-946-1676, emailed by clicking here, or mailed to our office

All of us here at Great Lakes Orthopaedic Center take pride in making our online forms easily accessible and available to you.  With technology these days, it is convenient to handle many tasks right online. If you are in need of assistance with the online forms, please contact our office so we can better assist you further.