*After Hours Care* If you have a non-emergency, please contact our after-hours answering service by calling your office’s main phone number found by clicking here. If this is an emergency, please go to the nearest Emergency Department or call 911.
New Patient Forms
Behavioral Health Forms
UDS Form
Notice of Privacy Practices
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 Form
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
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.
Patient Portal
If you are interested in signing up for our new and improved patient portal contact your providers office.
How to Export Your NextMD Messages
- Features
- Terms and Conditions
What you can do with the Patient Portal.
- Pay Your Statement Online
- Message Your Provider
- Schedule an Appointment
- Request Medication Refills
- Pay Your Statement Online
- Message Your Provider
- Schedule an Appointment
- Request Medication Refills
Fee Program
Our mission is to ensure that all patients and community members have 100% access to health care. To help make this possible we have created a sliding scale, which allows us to adjust visit costs depending on the patient’s eligibility for the program. Sliding fee eligibility is based on income and family size.
To apply for the sliding scale, contact one of our Financial Counselors and gather the following information for your appointment:
- Most Recent Tax Return (Used to verify income and household size – Schedule C Form is required for those who are self-employed.
- If you don’t file tax returns then proof of Income for a one-month period (Paystubs, SSI, Disability, DHS Eligibility Statement, Unemployment, Pension, Child support, etc.)
Baldwin – (231) 745-5045
Cadillac – (231) 876-6520
Grant – (231) 834-9717
White Cloud – (231) 689-7676
Insurances
Most Popular accepted insurances:
Not sure we accept your insurance? Give us a call!
- BCBS PPO (All States)
- BCBS Traditional
- Medicare
- Medicare Plus Blue
- Humana Gold Choice
- Priority Health
- Commercial
- Medicare
- Medicaid
- Meridian
- Molina
- Medicaid
- Mclaren Medicaid
- Cigna
- Cofinity
- Auto Insurances
- Aetna
- Blue Care Network
- Blue Care advantage
- Tricare
- United Health Care
Did you know you can now pay your statement online through the patient portal? Sign Up Today or Login.
Medical Billing Questions (231) 876-6781
Dental Billing Questions (231) 745-5034 or (231) 876-6526
Privacy Policy
If you believe your privacy rights have been violated, you may file a complaint with us or with the Secretary of the Department of Health and Human Services. You may file a complaint by mailing or faxing us a written description of your complaint or by telling us about your complaint in person or over the telephone:
Tina McConnell
Chief Information, Security and Privacy Officer
520 Cobb St., Cadillac MI 49601
(231) 876-6507
tmcconnell@familyhealthcare.org
If you are sending a complaint, please describe what happened and give us the dates and names of anyone involved. Please also let us know how to contact you so that we can respond to your complaint. You will not be penalized for filing a complaint.