Authorization Forms for Clinics

Concentra (TB and Physical)

Concentra (TB Only)

Covenant Health (TB and Physical)

Covenant (TB Only)

CSCS Authorization (TB and Physical)

Genesee Urgent Care (TB and Physical)

Genesee Urgent Care (TB Only)

Hills and Dales (TB and Physical)

Hills and Dales (TB Only)

Hurley- (TB and Physical)

Hurley- (TB Only)

Marlette Regional- (TB/Physical)

McLaren- (TB/Physical)

MidMichigan Health (TB and Physical

MidMichigan Health (TB Only)

WorkHealth- (TB/Physical)