Region 5 MCIR

Northern Lower Michigan including the counties of Alcona, Alpena, Antrim, Arenac, Benzie, Charlevoix, Cheboygan, Clare, Crawford, Emmet, Gladwin, Grand Traverse, Iosco, Isabella, Kalkaska, Lake, Leelanau, Manistee, Mason, Mecosta, Missaukee, Montmorency, Newaygo, Oceana, Ogemaw, Oscoda, Osceola, Otsego, Presque Isle, Roscommon, and Wexford.

Region 5 MCIR Helpdesk: 1-888-217-3904

Region 5 MCIR
14485 Northland Dr
Big Rapids MI 49307
231-796-7864 Fax

Petition for Modification Form - Patient Information Correction: Click here
Petition for Modification Form - Immunization Correction: Click here

Please fax the form to: 1-231-796-7864