Alliance is requiring all patients and visitors to wear a face mask.
New Patient, GYN Packet
New Patient, OB Packet
Established Patient, OB Packet
Confidential Communication of Protected Health Information
Edinburgh Depression Scale
Financial Policy
FMLA/Disability Form Request
Insurance Information
FMLA/Disability Checklist
Medical Records Release
Notice of Privacy Practices Acknowledgement
Physician Request Form
Main Campus
(517) 484-3000 fax: (517) 484-6358
1560 Turf Lane, East Lansing, MI 48823
South Campus
(517) 484-3000 fax: (517) 978-0002
1100 South Cedar Street, Mason, MI 48854
Medical Records
DataFile Contact Center
816-437-9134
Monday – Friday
8:30 am – 6:00 pm EST
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