Sparrow Occupational Health Facilities.
Go here if in Lansing, Grand Ledge area
Mercy Workplace Health.
Go here if in Grand Haven, Muskegon, White Hall, Ludington, Hudsonville area
Go here if in Flint, Lapeer, Bay City, Mt. Pleasant area
Ascention Borgess Occupational Health Facilities.
Go here if in Kalamazoo, Battle Creek, Coldwater, Plainwell area
Med 1 Occupational Health Services.
Go here if in Grand Rapids area
Authorization to Treat Form
Please contact one of the following:
Elaine Lewis, 269-978-4169
Dan Herder, 269-978-4112 (c) 269-365-3971
Dan Nielsen, 708-288-6103 email@example.com
If you are unable to contact one of the above at the phone number given, please submit an e-mail statement to Dan Nielsen at the address show above, with a short description of the services needed and your contact information. Let this serve as “Authorization to Treat”.
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