New Patient Request Form

Carefully read through all instructions below:

FOR NEWBORNS - Call the office (do not complete this online request) if you have a newborn that needs to be seen post discharge or you expect to deliver within 2 weeks. 

• Submit one form per patient.
• We will email your response, therefore a valid email address is required.
• Average wait time from online application submission to being contacted by our office is two weeks. If it has been greater than two weeks you may call the office to check the status. 
• Our practice can only accept a very limited number of new patients. We do not have a waiting list. 
• Several of our physicians do not have available appointments for 3-6 months. 
• If you are in need of more urgent care, seek treatment at a walk-in clinic.  
• For help finding another PCP, contact Munson Find a Doctor at 231-935-0951 or via email at findadoctor@mhc.net