| To order various Patient Education Materials or other brochures, please complete the form indicating the quantity. If you have any quesitons, please call (989) 894-3812 or (989) 894-3827.
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*Indicates Required Information
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Ambulatory Surgery or AM Admissions for Surgery
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| Arteriogram or Angiogram |
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| Cardiac Catheterization |
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| Cardiac Treadmill Test |
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| Computerized Tomography CT Scan |
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| EEG (Electroencephalogram) |
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| Evoked Potential Studies |
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| Esophagram (Barium Swallow) Upper GI Small Bowel |
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| Gallbladder and Abdominal Ultrasound |
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| Holter Monitor |
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| Intravenous Pyelogram (IVP or Urogram) |
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| Lower GI (Barium Enema) |
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| Esophagram (Barium Swallow) Upper GI Small Bowel |
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| Magnetic Resonance Imaging (MRI) |
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| Myelogram |
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| Nuclear Medicine Myocardial Stress |
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| Obstetrical and Pelvic Ultrasound |
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| Prostatic Ultrasound Exam |
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| T.E.E. |
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| Thyroid Uptake and Scan |
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| Tilt Table Test |
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| Urodynamics Test |
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| Other Brochures |
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| Urodynamics Test |
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| Bay Special Care Hospital |
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| Cardiac Rehabilitation |
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| Outpatient Rehabilitative Services |
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| Osteoporosis |
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| Hospital Locations Map |
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| BRMC Site/Service Address and Phone Listing |
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| Deliver to: Name* |
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| Office Name |
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| Address* |
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| City* |
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| State* |
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| Zip* |
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| Phone Number* |
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| Contact Person |
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| Email Address |
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