Skip to Content

  • Wait Times
  • Site Search

Patient Forms

Advance Directives

See Designating a Patient Advocate.

Medical Records

New Patient Forms

  • Financial Policy (PDF 28 KB) - Patients are asked to read and sign this policy prior to registering at the hospital or establishing yourself as a new patient in one of our physician offices.

Pediatric Forms

  • Consent for Treatment of a Minor Child (PDF, 68 KB) - Sign this form and give it to a babysitter, relative, school chaperone or anyone who is responsible for your child while you are away. That person will need to present this form to get medical, dental or hospital care for your child if you cannot be reached.
  • Refusal to Consent to Vaccination - A doctor may require you to sign this form if you decline to have your child vaccinated according to the recommended schedule. If your child's vaccinations are not up to date, many schools, camps or other programs may also require you to sign this vaccination waiver before enrolling your child. Signing a waiver does not guarantee that your child will not be excluded.
  • Sports physicals - This form is required by many school and private sports programs. Complete the student and parent portions of this form and bring it with you to your scheduled sports physical.

How Do I Call a Patient?

For patient privacy, we do not give out direct phone numbers to patient rooms. Please call the switchboard numbers below and ask for the patient by full name. Please keep in mind that patients may elect not to receive phone calls. See more ways to stay in touch.

Medical Centers

Clare (989) 802-5000

Gladwin (989) 426-9286

Gratiot (Alma) (989) 463-1101

Midland (989) 839-3000

Nursing Homes

Gladwin Pines (989) 426-3430

Stratford Village (989) 633-5350