Contact Information and Forms

We look forward to hearing from you! Please see below for office locations, contact information, most requested departments and forms to fill out before you arrive. To schedule an appointment, follow up on a recent visit, or simply ask a few questions, please call, write, or send us an e-mail.

Hablamos Español !

Main Office
Billing and Insurance questions
1111 Leffingwell N.E.
Suite 200
Grand Rapids, MI 49525
Phone: (616) 957-4263
Fax: (616) 957-0444

Mary Free Bed
235 Wealthy SE
Grand Rapids, MI 49503
Phone: (616) 242-0481



United Memorial Medical Specialty Center
705 S. Greenville West Dr.
Greenville, MI 48838
Phone: (616) 957-4263

South Pavilion
80 68th St
Grand Rapids, MI 49548
Phone: (616) 391-8230
Fax: (616) 391-8269



 

Billing Questions

E-mail: billing@michiganhand.com

Insurance Information

E-mail: insurance@michiganhand.com

 

Forms

To save time when you come to the Michigan Hand Center for your appointment, print out the forms below and fill them out at home. Then, don't forget them when you come for you visit! We look forward to seeing you.


Patient Information Form (PDF) 234 kb
Consent for Treatment Form (PDF) 12 kb
Medical History Form (PDF) 98 kb
HIPAA Form (PDF) 83 kb
Notice of Privacy Practice (PDF) 80 kb
Financial Policy (PDF) 74 kb
Priority Health Questionnaire Form (PDF) 401 kb


 

 





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