Contact Us:

Midland Family Physicians, P.C.
920 W. Wackerly Street
Midland, MI  48640

(989) 839-9937 (Phone)
(989) 839-9220 (Fax)
(989) 631-0970 (After Hours)

Office Hours:

New office hours starting in 2015

Monday - 7am -7:30pm

Tuesday - 7am -7:30pm

Wednesday - 7am -7:30pm

Thursday - 7am - 6pm

Friday - 7am - 5pm

Saturday - 8am - Noon

Forms and Documents

You can download PDF files of required forms from this page.  Find the name of the form that you need and click on the PDF Icon to open it in a separate page that can be printed.

New Patient Adult Registration Form

pdf small Click to Download

New Patient Pediatric Registration Form

pdf small Click to Download

Medical Records Release from MFP

pdf small Click to Download

Medical Records Release to MFP

pdf small Click to Download

Conscent for Treatment of a Minor

pdf small Click to Download

Consent for Use and Disclosure

pdf small Click to Download

Prescription Refill Request

pdf small Click to Download

PCMH Patient/Provider Agreement

pdf small Click to Download

Sports Physical Form

pdf small Click to Download