Providing Women in the Upper Peninsula with the Best, Most Up-To-Date Care.

Forms

formOB Questionnaire     Complete and bring this form to your first Obstetric appointment. Please update with each pregnancy.

form   GYN Questionnaire     Complete and bring this form to your annual Gynecologic appointment. Please update annually.

formNotice of Privacy Practices     Please review and save a copy of our Privacy Practices for your information.

formMedical Records Release     If you are transferring your care or relocating and need your records forwarded, please fill out our Medical Records Release form. You may return it to us via mail or fax. Please note that records may require up to 14 days to process.