Thirlby Clinic
home Physicians and Staff Registration Information Health Information Contact Us Munson Healthcare Mercy Hospital Grayling
 

Dr. Thornton with child and teddy bear

Some health insurances accepted include:

  • Blue Care Network
    (OB physicians only)
  • Blue Cross Blue Shield of Mich
  • Blue Cross Fed (Federal)
  • Blue Cross PPO
    (also called Blue Preferred, Community Blue and PPO Plus)
  • Champus/Tricare
    (Standard only)
  • Chandler Group PPO
  • Community Care Plan HMO — Medicaid
  • First Health
  • Kids Care (Pediatricians only)
  • Medicaid (Michigan only)
  • Medicare
  • Molina/HMO — Medicaid
  • Multiplan, Inc
  • One Health Plan of Mich
  • Physicians Care — ASR
  • Preferred Choices PPO
  • Priority Health
  • Railroad Medicare



 

Insurance and Payment Information
We require that services be paid in full on the day received, unless other arrangements are made ahead of time. Mercy Family Care works closely with several insurance carriers, so we can bill these carriers for you. However, any co-pay, deductible, or co-insurance Roscommon Front Desk Staffamount must be paid on the date of service. Arrangements can be made for special circumstances. You will be expected to present your insurance card at each visit. Please direct any questions about your coverage or billing statement to 1-888-999-6011.

Available Online Forms

Use the Tab key or your mouse, not the Return/Enter key, to move between each section/field. Pressing the Return/Enter key will submit the form.

Available PDF Forms

To to download a PDF to your hard disk follow these instructions. Internet Explorer/Windows RIGHT CLICK on the link and choose "Save target as..." For Macintosh, hold down the OPTION key when you click on the link.

Patient Registration - online form
Patient Registration Page II 20 kb
Change of Insurance - online form
Prescription Refill - online form
Change of Phone & Address - online form
Health History Part I 20 kb
Health History Part II 12 kb
Release of Medical Information 12 kb
Release of Medical Records to MFC 28 kb
Release of Medical Records from MFC 28 kb

Appointments
We understand that your schedule may change and you may need to cancel an appointment. Please inform us 24 hours in advance by calling:
Grayling: (989) 348-1212
Prudenville: (989) 366-2900
Roscommon: (989) 275-1200