HOLIDAY CLOSING
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The office will be closed on Christmas Day, Monday December 25th and on New Year's Day, Monday January 1st. For emergencies, please call 911 or visit your nearest Urgent Care office.
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Photo of the front of our building

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)

© Anchor Bay Clinic Family Medical Center, P.C. All Rights Reserved.


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Contact:
32901 Twenty-Three Mile Road, Suite 100
Chesterfield, Michigan 48047

Phone:
(586) 725-8500

Fax:
(586) 725-5311
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