Make A Referral - McLaren Bay Special Care

Referral By Phone Or Fax

Referral Phone:

Office phone number: (989) 667-6828

Staffed hours are Monday-Friday 7 a.m. to 4 p.m.
We will accept after hour referrals and return a call the next staffed morning.

Referral Fax:

Office fax number: (989) 667-6223.

Please send referral information and include: patient face sheet, history & physicals, consultations, medication list, chest x-rays, current physician progress notes from the past 2-3 days, and recent lab results.

Online Referral Form

Note: * indicates required field

Patient Information

Patient First Name: *

Patient Last Name: *

Referring Person First Name: *

Referring Person Last Name: *

Relationship to Patient: *

Contact Information

Phone - xxx-xxx-xxxx:*

Alternative Phone - xxx-xxx-xxxx:

Email: *

Preferred Method of Contact: *

Address: *

City: *

State: *

Zip Code: *

Services Needed: *

Captcha*

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