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Willis F Gaffney M.D., P.C., F.A.C.S.

Doctor · Health 989-831-9009

Call for Appointment or Questions

Virtual Visit-Same Day

Apply to be a New Patient

Complete before your first office visit

Before Your Next Visit

Forms, Surveys, & Records

Annual Wellness Visit/Medicare preventive physical examination

New Patient History

New Patient Demographics

Chronic Pain Treatment

Start right here

Print New Patient History

Print form to complete address insurance etc

Complete Pain Scale

DOT Examination

Print DOT form 5875

Print DOT form 5876

Print Sport Physical form

Sports Physical

Five Wishes

Patient Satisfaction Survey

View & Print Five Wishes

Complete Survey

HIPPA Release

Print HIPPA Release

Go to Patient Fusion-your medical records

Doctor with Files

Online Access thru Practice Fusion

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