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Please do not include any personal medical information as this form is not a secure or HIPAA compliant form; to submit personal information, call 800.968.5155 or through the Patient Portal.

For all appointment changes, prescriptions requests, authorizations, personal inquiries please contact Bay Street Orthopaedics & Spine directly at
231.347.5155 or 800.968.5155.

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PETOSKEY
4048 Cedar Bluff Dr • Suite 1
Petoskey, MI 49770
231.347.5155

CHARLEVOIX
14715 W Upright St
Charlevoix, MI 49720
231.547.7546

CHEBOYGAN
810 S Main St • Suite 1
Cheboygan, MI 49721
231.627.3161

ST. IGNACE
Mackinac Straits Hospital
1140 N State St
St. Ignace, MI 49781
800.968.5155

TRAVERSE CITY
5246 N Royal Dr
Traverse City, MI 49684
800.968.5155

GAYLORD
1050 S. Otsego Ave
Gaylord, MI 49735
800.968.5155

ROGERS CITY
Rogers City Medical Group
573 N Bradley Hwy
Rogers City, MI 49779
800.968.5155