Region 5

Region 5


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 Counties.

HELPDESK: 1-888-217-3904  –   Choose Option #1

District Health Department #10
c/o Region 5 MCIR
14485 Northland Dr
Big Rapids MI 49307
Fax: 231-796-7864

Region 5 MCIR Newsletter: http://www.region5mcir.org/ 

Petition to Change Patient Information Form – Region 5 – Patient Information Correction
Petition to Change Immunizations Form – Region 5– Immunization Correction

Please fax completed forms to: 1-231-796-7864

Contact


Sharon Polek

All Counties
Office: 231-305-8671
spolek@hline.org

 

3/18/18