New Patient Request Form

Northern Pines Health Center welcomes new patients!

If you're interested in becoming a new patient at Northern Pines Health Center please complete the "New Patient Request Form" and return it to our office. Once we receive your completed form, our Medical Director will review it to determine if the services we provide in our office will meet your needs. After a determination has been made we will contact you to either schedule an appointment or inform you that we are not able to meet your healthcare needs in our office. 

You may return the new patient request form by mailing it to our office at: 11293 N M-37 Suite A, Buckley, MI 49620 or delivering the form to our office during  normal business hours. To protect your privacy, we do not currently accept new patient request forms via email.

You may access the new patient request form by clicking on the link below.

Click here to access the NEW PATIENT REQUEST FORM


Northern Pines Health Center, PC

11293 N M-37
Suite A
Buckley, MI   49620

Phone: (231) 269-4185
Fax: (231) 269-4461

Office Hours

Monday - Friday 7:30 am - 5:00 pm
Saturday - Sunday  Closed 

Acute Walk-ins

Monday - Friday
11:00 - 11:45 am
4:00 - 4:45 pm

24 Hour Care

For non-emergency care outside normal business hours, please call 231-269-4185 and leave a message. You may also have the NPHC physician-on-call paged by contacting our after-hours call service vendor at 231-252-0233.

In cases of emergency, please visit the nearest emergency room or call 911.