Click on the links for a downloadable form.  Please fax completed forms to 616/532-8200.

Patient Registration Form

If you would like further information, please call at 616/532-8100.  Alternatively, you may submit an email requesting an informational packet, but consider that email is not a secure method of communication.  DO NOT INCLUDE ANY PERSONAL INFORMATION.   General inquiries will be replied to within 1-2 business days.  If you require a more rapid response, please call us at 616.532.8100.  Please click to email us.