Integrative Child & Adolescent Psychiatry, PLLC

Anastasia Banicki-Hoffman, MD

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For Medical Records:​

​For Medical Records, please send your signed Authorization To Disclose Protected Health Information Form (page 4 of New Patient Forms Tab) to the address below:
​
NOTE: Please only use this form if you were a previous patient at Integrative Child & Adolescent Psychiatry in Troy, MI.


Dr. Anastasia Banicki-Hoffman
156 N. 4th Street
Rogers City, MI 49779






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