3095 S. Dye Suite A  Flint, MI 48507                               phone  810-820-8555
                                  

Medical Release Form

Michigan Wellness Center offers assistance to those people seeking to obtain their Michigan Medical Marijuana card.  Our certified Physician Certification process is in full compliance with the law.  Visit MichiganWellnessCenter.com
 




               
AUTHORIZATION FOR RELEASE OF MEDICAL RECORDS

 

We encourage you to request a copy of your medical records and review them before authorizing the release of your records to someone other than you. If you need assistance with your records come to 3095 S. Dye rd. Flint Michigan  and we would gladly assist you in the process.   

 

 

 

 

 

 

 

 

 

 

 

PLEASE FAX PATIENTS RECORDS ASAP TO:


Michigan Wellness Center

FAX # (810) 820-8550

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