Online Forms
To request Health Information Records, please complete and submit the applicable form.
Welcome packet:
Information Form
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 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
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 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
