© 2017 by Bluestem Family Health

PATIENT FORMS

Please Note:

Bluestem Family Health will close on October 18, 2019. 

If you need medical care prior to the closure of our practice, please do not hesitate to contact our office.

 

After October 18, 2019, your records will be available for ten years by contacting Cloud 9 Medical Solutions at 616-229-4700 or by email at records.bsfh@gmail.com.     

The following form is in printable format. In order to open the form, you will need to have the Adobe Acrobat Reader plugin. Most computers are configured with this plugin, but if yours is not, you can get the free plugin at Adobe.

Medical Records Release