When Traveling Abroad...
When traveling abroad it is extremely important that you
carry a list of people who can be reached in an emergency.
Fill out the fields in the form below and then print it. If
you would like you can submit your information to Genesee
Infectious Diseases and Travel Medicine, we will keep your
information in a database and should we recieve a call regarding
your need for emergency information we can refer them to your
listed numbers. When you print this document the individual
fields will print blank. You will need to maually fill in
these fields and keep a copy fo this document with you whenever
Your Personal Information:
* denotes a required field
NOTICE: The person carrying this emergency contact
list would like you to contact the people listed for consultation
on necessary medical treatment or emergency aid. In the event
that you cannot reach one of these individuals, please contact
Office hours are Monday through Friday:
9:00 a.m. until 12:00 noon and 2:00 p.m. until 5:00 p.m.
We accept cash, check, Visa and Mastercard.
C. Michael Lewis, D.O.
G-8195 S. South Saginaw Street
Grand Blanc, MI 48439
Phone: (810) 694-5393
Toll Free: 800-966-5393
Fax: (810) 694-5394