Patient Resources
Patient Portal
Let’s Keep This Between Us
Your medical information is personal and should stay private even when accessed remotely. Our Patient Portal provides a secure, confidential way to view medical records anytime, anywhere. Please provide your email address to your Family Health Care front desk staff at your next appointment to create your account.
Health Insurance
We’ve Got You Covered
Family Health Care accepts most major insurance plans, including Medicaid and Medicare. If you are uninsured or under-insured, our Outreach Specialists are certified to assist you when navigating the Health Insurance Marketplace.
We’re Here to Help
Family Health Care wants to help make sure that valuable medical services are available to everyone, regardless of the ability to pay. Our sliding fee program offers reduced fees for qualifying patients through a federally funded program that determines eligibility based on family size and income.
For more information on this program, contact a financial counselor at the health center nearest you.
Family Health Care services covered by our financial assistance programs include:
Medical
The aim of primary medical care is to provide an entry point into the health care system.
Dental
Healthy, happy teeth and gums make it easier to eat healthy foods and are an essential barrier to disease.
Vision
Regular eye exams are vital for overall health and detecting common eye diseases – regardless of age or physical condition.
Pharmacy
Prescription fill services with individualized attention for medication counseling, affordability, and efficiency. Discounts are available for those who qualify.
Behavioral Health
Our comprehensive outpatient counseling is designed for all ages and individuals or families.
Radiology/Lab
Family Health Care proudly offers in-house laboratory services at our Baldwin, Cadillac, Grant, and White Cloud locations.
New Patient Forms
To ensure that Family Health Care provides you with the best possible care, please take a moment to complete the following new patient forms before your first visit.
Notice of Privacy Practice
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Family Health Care (FHC) is required by law to maintain the privacy of individually identifiable patient health information (this information is “protected health information” and is referred to herein as “PHI”). We are also required to provide patients with a Notice of Privacy Practices regarding PHI. We are required to post this Notice in a prominent place within our facility. We will only use or disclose your PHI as permitted or required by applicable state law. This Notice applies to your PHI in our possession including the medical records generated by us.
FHC understands that your health information is highly personal, and we are committed to safeguarding your privacy. Please read this Notice of Privacy Practices thoroughly. It describes how we will use and disclose your PHI. This Notice applies to the delivery of health care by FHC.
Notice of Privacy Practices Acknowledgement & Signature Form
THIS NOTICE OF PRIVACY PRACTICES DESCRIBES HOW THE FACILITY USES AND DISCLOSES YOUR HEALTH INFORMATION AND THE CIRCUMSTANCES UNDER WHICH WE MUST SEEK YOUR WRITTEN PERMISSION TO DO SO. The Notice of Privacy Practices also describes rights you have under federal regulations called the Health Insurance Portability and Accountability Act (“HIPAA”). HIPAA requires us to provide you with the Facility’s Notice of Privacy Practices and to obtain your written acknowledgment for receiving it.
By signing this form, you are acknowledging that the Facility provided you with its Notice of Privacy Practices; by signing, you are not agreeing or disagreeing with its content. If you do disagree, the Notice of Privacy Practices provides information about how you may address your concerns. By signing below, I acknowledge receiving the Facility’s Notice of Privacy Practices.
Limited Power of Attorney
TEMPORARY DELEGATION OF POWER BY PARENT/GUARDIAN & LIMITED POWER OF ATTORNEY FOR CONSENT TO MEDICAL TREATMENT OF CHILD/LEGALLY INCAPACITATED PERSON
Parents/Guardians: Don’t leave your loved ones unprotected. Give your permission to a responsible adult so that Family Health Care/Great Lakes Family Care staff can treat your loved ones in the event of an unexpected nonemergent situation if you are going to be temporarily separated from your child or another person for whom you are responsible (parent, grandparent, etc.). Except in emergent situations, Family Health Care/Great Lakes Family Care personnel cannot provide unexpected nonemergent treatment for your child or legally incapacitated person in the event he or she becomes ill or injured without authorization. Your loved one’s care could be needlessly delayed while our staff attempts to contact you. With the proper consent, you assure your loved ones of immediate care should it be necessary. Fill out this limited power of attorney form and leave it with whoever will be responsible for your loved one in your absence. You are encouraged to follow the same procedure whenever you will be away from your loved one.By signing this form, you are acknowledging that the Facility provided you with its Notice of Privacy Practices; by signing, you are not agreeing or disagreeing with its content. If you do disagree, the Notice of Privacy Practices provides information about how you may address your concerns. By signing below, I acknowledge receiving the Facility’s Notice of Privacy Practices.