General Surgery Clinic at Brighton Health Center

Request for Outside Records

• Referral Renewal  
• Authorization Form (PDF) to Retrieve Patient Information From Another Healthcare Organization

  Flexible Spending Account-Reimbursement Forms for OTC medications

• Patient Fact Sheet
• OTC Prescription Form and Instructions    

From the UM Health System's  Patient & Visitor Guide:

•   Medical Records & Forms
•   Insurance & Billing
•   What to Bring to Your Appointment