Online Forms

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


  • Arthroscopy

  • Hip & Knee

    “Each visit to GLOC was always treated professionally with all questions and concerns answered. Wanted to Thank Dr. Galdes and the wonderful staff for a job well done from beginning to the end of my hip surgery.”
  • Hip & Knee

    “From Casey in the process to Dr Weirsma. All the staff treated me so well and very caring. My Hip was replaced today 5/24. Just a thank you to a wonderful staff from beginning to end John Fyfe”

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Office Hours: Mon.–Fri., 8 a.m.–5 p.m.