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Forms

CMU Health - Saginaw

Before your visit, please take a moment to get up to speed on our policies and what you can expect from us as your health care provider.

For your convenience, the following forms are available to download and print:

  • Advanced Directive
  • Advanced Directive-Covenant
  • Attendance Agreement
  • Authorization for Release of Medical Information
  • Notice of Privacy Practices
  • Pediatric Vaccination Agreement
  • PCMH Agreement
  • Office Policies and Expectations Form
  • Telemedicine Consent
  • Consent for Treatment - Adult
  • Communication Form - Adult
  • Consent for Treatment - Minor
  • Communication Form - Minor
  • Patient Registration Form

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    Locations

    Saginaw
    1000 Houghton Ave.
    Saginaw, MI 48602
    989-746-7500
    Driving Directions

    Mount Pleasant
    600 East Preston St. (Foust Hall 200)
    Mount Pleasant, MI 48859
    989-774-6599
    Driving Directions

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