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Submit a non-urgent claim below. If an appropriate link is not available for your claim, please contact us directly
or call 616.897.1515.

 IMPORTANT: Please use the forms below for non-urgent claims only. In cases of emergency, call 911 first. 

 To file urgent claims, please call our office directly at 616.897.1515 between the hours of 8:30 AM - 5:00 PM. Or, after business hours, file urgent claims with your insurance carrier directly. 
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423 W. Main Street, Lowell, MI 49331 | Phone: 616.897.1515 | Fax: 616.897.1414
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