Anchor Bay Clinic Family Medical Center, P.C.
32901 Twenty Three Mile Road, Suite 100
CALL (586) 725-8500
FAX (586) 725-5311
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LABOR DAY CLOSING
The office will be closed in observance of Labor Day on Monday September 5 and will reopen on Tuesday, September 6.
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Patient Forms (preferred method)
Our Memo of Understanding (online)
Authorization to Release Medical/Billing Information (HIPAA) (online)
Patient Information (online)
Patient Forms (alternate: download)
Our Memo of Understanding (download 285 Kb PDF)
Authorization to Release Medical/Billing Information
(HIPAA) (download 49 Kb PDF)
Patient Information (download 68 Kb PDF)
Advance Directives (download 87 Kb PDF)
Additional Documents for reference
Notice of Privacy Practices (download 160 Kb PDF)
Social Determinates of Healthcare (download 525 Kb PDF)
