HIPAA Policy
Initial Medical History
Medical Records Request to Release Patient Information FROM Michigan Reproductive Medicine
These forms can be completed on your computer, and sent to us by e-mail, snail mail, or fax:
- Email: Forms@MiReproductiveMedicine.com
- Fax: 248-593-5925
- Snail mail: Michigan Reproductive Medicine, 41000 Woodward Ave, Suite 100 East, Bloomfield Hills, MI 48304-5130