Forms


	Covenant Health Care - Authorization (File: Covenant Health Care - Authorization.pdf) Date Posted: 08/31/26

	Craig Insititute Authorization - Billing (File: Craig Insititute Authorization - Billing - DO Both.pdf) Date Posted: 08/31/26

	Craig Insititute Authorization - Medical - Do Both (File: Craig Insititute Authorization - Medical - Do Both.pdf) Date Posted: 08/31/26

	Craig Insititute Authorization - Radiology (File: Craig Insititute Authorization - Radiology - Do Both.pdf) Date Posted: 08/31/26

	CVS Pharmacy - Authorization (File: CVS Pharmacy - Authorization.pdf) Date Posted: 08/31/26

	DaVita - Authorization (File: DaVita - Authorization.pdf) Date Posted: 08/31/26

	Dearborn Group - Authorization (File: Dearborn Group - Authorization.pdf) Date Posted: 08/31/26

	Detroit Community Health RELEASE FOR BEHAVIORAL HEALTH INFO (File: Detroit Community Health RELEASE FOR BEHAVIORAL HEALTH INFO.pdf) Date Posted: 08/31/26

	Detroit EMS Division - Authorization (File: Detroit EMS Division - Authorization.pdf) Date Posted: 08/31/26

	Detroit Public Schools Transcript Form (File: Detroit Public Schools Transcript Form.pdf) Date Posted: 08/31/26

	DMC - DETROIT MEDICAL CENTER - AUTHORIZATION (File: DMC - DETROIT MEDICAL CENTER - AUTHORIZATION.pdf) Date Posted: 08/31/26

	Eastern Michigan University - Transcript Request Form (File: Eastern Michigan University - Transcript Request Form.pdf) Date Posted: 08/31/26

	Easterseals - MORC - Authorization (File: Easterseals - MORC - Authorization.pdf) Date Posted: 08/31/26

	Easton Rapids Medical Center - Authorization (File: Easton Rapids Medical Center - Authorization.pdf) Date Posted: 08/31/26

	Eaton Rapids Medical Center Family Practice & Redicare Springport Medical Clinic - Authorization (File: Eaton Rapids Medical Center Family Practice & Redicare Springport Medical Clinic - Authorization.pdf) Date Posted: 08/31/26

	Express Scripts - Authorization (File: Express Scripts - Authorization.pdf) Date Posted: 08/31/26

	FAA - Airman File - Authorization (File: FAA - Airman File - Authorization.pdf) Date Posted: 08/31/26

	Florida Medicaid - Authorization (File: Florida Medicaid - Authorization.pdf) Date Posted: 08/31/26

	Garden City Hospital - Authorization (File: Garden City Hospital - Authorization.pdf) Date Posted: 08/31/26

	Grand Valley State University Non-Public Information - Authorization (File: Grand Valley State University Non-Public Information - Authorization.pdf) Date Posted: 08/31/26

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Legal-Ease Digital Imaging, LLC, 2496 Meadowcroft Dr. Burton 48519 | Phone: 855-534-4003 / 810-234-7799 | Fax: 810-547-4030