Inpatient Admission Inquiry

Looking for inpatient rehabilitation? We’re here to help. Call us at 616.840.8790 or share your name and contact information below. Our team will connect you with someone who can talk through your needs and next steps.

Name and Relationship to the Patient(Required)

First Last

Your relationship to the patient

Self

Parent

Spouse/Partner

Child

Healthcare Provider

Case Manager/Social Worker

Legal Guardian

Other

Patient Date of Birth(Required)

Patient's Current Location(Required)

Hospital

Rehabilitation facility

Preferred Language(Required)

Reason for request(Required)

Phone(Required)

Email(Required)

Our Specialties

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PM&R Residencies

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Inpatient Admission Inquiry

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