Rehabilitation Services Referral Munson Healthcare (Page 2 of 2) in pdf

PATIENT INSTRUCTIONS:

1. Bring this referral form/physician's order to your first appointment.

2. It is important that you contact your insurance company to verify coverage of therapy services.

3. 1-4 hours of a therapist's time has been reserved for you. If you are unable to attend your appointment,

please call as soon as possible.

4. Please arrive 15 minutes early for your appointment.

5. Wear comfortable clothing. Patients with back or leg problems may wish to bring a pair of shorts.

FACILITY LOCATIONS / PHONE NUMBERS:

ADVANCED WOUND CENTER

MUNSON HEALTHCARE CADILLAC HOSPITAL

5085 Anna Drive, Suite B&C

400 Hobart Street, Cadillac MI 49601

Traverse City, MI 49684

(231) 876-7443

Hyperbaric Oxygen Therapy s Traditional Wound Care

(231) 935-5951

(231) 935-5900

MUNSON HEALTHCARE GRAYLING HOSPITAL

Fax (231) 935-5956

Fax (231) 935-5907

1250 E. Michigan Avenue, Suite 3

Grayling Rehab Services (989) 348-0314

BEAR LAKE CLINIC

Audiology (231) 935-6455

Fax (989) 348-0549

8225 Lake Street, Bear Lake, MI 49614

(231) 864-5002

Fax (231) 964-3880

MUNSON COMMUNITY HEALTH CENTER (MCHC)

550 Munson Avenue, Traverse City MI

BENZONIA PHYSICAL THERAPY (POMH OFF-SITE)

* Mailing Address: 1105 Sixth St, Traverse City MI 49684

Located in the lower level of Crystal Lake Clinic on

(231) 935-8600

Fax (231) 935-8609

M-115 between Benzonia & Frankfort

228 Bellows Drive, Frankfort MI 49635

MUNSON MEDICAL CENTER

(231) 882-0083

Fax (231) 882-0115

1105 Sixth Street, Traverse City MI 49685

Physical/Occupational/Speech Therapy

BRAIN INJURY & COGNITIVE REHAB (MCHC)

(231) 935-7331

Audiology: (231) 935-6455

550 Munson Avenue, Traverse City MI

Fax (231) 935-7344

(231) 935-0388

Fax (231) 935-0941

PAUL OLIVER MEMORIAL HOSPITAL

EMPIRE THERAPY CLINIC

224 Park Avenue, Frankfort MI 49635

9973 W. Ottawa Avenue just off M-22

(231) 352-2231

Fax (231) 352-2358

Empire, MI 49630

Audiology: (231) 935-6455

(231) 326-2053

Fax (231) 326-2054

INTERLOCHEN THERAPY CLINIC

PEDIATRIC THERAPY (MCHC)

3 Miles West of the Traffic Light on US31

550 Munson Avenue, Traverse City MI 49684

1975 Stirling Drive, Interlochen 49643

* Mailing Address: 1105 Sixth St, Traverse City MI 49684

(231) 275-0166

Fax (231) 275-0169

(231) 935-8600

Fax (231) 935-8609

Feeding Therapy: Munson Medical Center

KALKASKA MEMORIAL HEALTH CENTER

(231) 935-7331

Fax (231) 935-7344

419 S. Coral, Kalkaska MI 49646

(231) 258-7534

Fax (231) 258-7615

WEST FRONT PHYSICAL THERAPY

Audiology: (231) 935-6455

3643 West Front Street, Traverse City MI

(231) 935-0590

Fax (231) 935-0599

KINGSLEY OUTPATIENT SERVICES

2291 E. M-113 Kingsley, MI 49649

WEST SHORE MEDICAL CENTER

(231) 392-7894

Fax (231) 935-8609

1465 E. Parkdale Avenue, Manistee 49660

Therapy Scheduling: (231) 935-8600

(231) 398-1166

Fax (231) 398-1499

Audiology: (231) 935-6455

MANCELONA PHYSICAL THERAPY CLINIC

419 West State Street, Mancelona MI

(231) 258-7534

Fax (231) 258-7615

Rehabilitation Services Referral Munson Healthcare Page 2

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