Health Care Appointments

Call the location nearest you to schedule an appointment:

Battle Creek

181 West Emmett Street
Battle Creek, MI 49037-2963
(269) 965-8866


Albion (Dental Services Only)

115 Market Place
Albion, MI 49224-1767
(517) 629-6540


To help your appointment go smoothly please:

Arrive early:  Please allow extra time to register if this is your first visit. If you need help with insurance coverage or billing arrangements, our Patient Account Representative can help you. Please allow extra time for that, too.

Please bring with you to every appointment:

  • Photo ID and insurance card; copies will be made for our records.
  • Bottles of all current prescription medications, vitamins, supplements, and any other over-the-counter pills.

Did you know 92% of Grace Health patients seen in the office in 2016 had a complete medication list in their medical record?  Help us keep your medication list up to date.  Please bring all your medications, vitamins, and supplements to your office visits.

When you check in:  You will be asked to verify your current address and telephone number. It is very important that we have this information in case we need to contact you to follow-up on a medical problem. Please be sure to let us know if your address or telephone number changes.

Please call to cancel or reschedule if you are unable to keep your scheduled appointment.


Payment

Payment is required at the time of service and may be made by cash, check, money order, VISA, Discover, or MasterCard. We accept Medicaid, Medicare, and are enrolled with many different HMO and private insurance plans. Our Patient Accounts Representative will complete and file insurance claims on your behalf. You are responsible for any unpaid balance or non-covered services.

Sliding Fee Discount
We offer a discount program through a grant from the Public Health Service, Department of Health and Human Services. This is a sliding fee discount with nominal patient responsibility for uninsured patients, which means payment according to one’s income level and family size. Please ask to speak with a Patient Accounts Representative to see if you qualify.


Patient Forms

General Forms (Formularios Generales)

Acknowledgement of Receipt of Notice of Privacy Practices
Privacy Practices

Reconocimiento de haber Recibido el Aviso de Prácticas de Privacidad
Prácticas de Privacidad

Authorization for Release of Medical Information

Healthy Michigan Plan Health Risk Assessment

Medical Care Authorization
Autorización para Cuidado Médico

Medicare Annual Wellness Visit – Patient History

Sliding Fee Discount Application
Aplicación para el Programa de Descuento

Pediatric Forms (Formularios de Pediatría)

Pediatric Demographics
Datos Demográficos de Pediatría

Pediatric History

Consent for Treatment
Autorización para Tratamiento

Patient Eligibility Screening Record – Vaccines for Children Program
Registro de Revisión de Elegibilidad del Paciente – Programa de Vacunas para Niños

Adult Forms (Formularios de Adultos)
Adult Demographics
Datos Demográficos del Adulto

Adult Patient History

Dental Form
Dental Health History