Helpful Forms
Click on the following to download:
Intake
Consent Form
Emergency Contact Info
Information Exchange Authorization
School
Primary Care Physician
Generic
Grand Rapids Office:
5242 Plainfield Ave NE
Suite A
Grand Rapids, MI 49525
Suite A
Grand Rapids, MI 49525
616.363.2200
fax: 616.363.5337
Email Our Office
Midland Office:
4604 North Saginaw Road
(2nd level @ east end of building)
Midland, MI 48640
(2nd level @ east end of building)
Midland, MI 48640
For appointments:
616-363-2200
Email Our Office