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Serenity Bay Health
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Provider New Patient Referral Form - PDF Download
Provider Patient Referral Form - Web Form
IOP Adult Provider Referral Form
PHP/IOP Adolescent Provider Referral Form
Therapy Referral and Consent
Partial Hospitalization Referral Consent
Release of Information
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Adolescent Partial Hospitalization
Adult Intensive Outpatient Program
Spravato
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Contact Us
Serenity Bay Health
Our Team
Psychiatrists
Nurse Practitioners
Therapists
FAQ
Forms
New Patients
Provider New Patient Referral Form - PDF Download
Provider Patient Referral Form - Web Form
IOP Adult Provider Referral Form
PHP/IOP Adolescent Provider Referral Form
Therapy Referral and Consent
Partial Hospitalization Referral Consent
Release of Information
Services
Adolescent Partial Hospitalization
Adult Intensive Outpatient Program
Spravato
Employment Opportunities
Contact Us
Folder: Our Team
Back
Psychiatrists
Nurse Practitioners
Therapists
FAQ
Folder: Forms
Back
New Patients
Provider New Patient Referral Form - PDF Download
Provider Patient Referral Form - Web Form
IOP Adult Provider Referral Form
PHP/IOP Adolescent Provider Referral Form
Therapy Referral and Consent
Partial Hospitalization Referral Consent
Release of Information
Folder: Services
Back
Adolescent Partial Hospitalization
Adult Intensive Outpatient Program
Spravato
Employment Opportunities
Contact Us

Where to find us

946 W Midland Road
Auburn, MI 48611

How to contact us

(989) 266 3188

Made with ❤ in Michigan.

© Copyright 2021, Serenity Bay Health.
All Rights Reserved.

you have a complaint or concern with your care, please contact: 

  • For all outpatient services, contact Emily Williams, RN, BSN, Vice President, Chief Operating Officer at 989-266-5276 

  • For the Partial Hospitalization Program or Intensive Outpatient Program, Contact Jennifer Whyte, RN, MSN, Vice President, Director of Program Development at 989-662-3768 

If you're not satisfied with your response or feel any of your rights as a patient have been denied, below is the information to file a complaint. 

  • Call the toll-free Complaint Hotline at 800-882-6006 

  • Complete a Health Facility Complaint Form (BHS-OPS-361) and mail to: 

    • 611 W. Ottawa Street – Central; PO Box 30664 Lansing, MI 48909 

  • Complete and submit the Complaint Intake Form on the internet at https://apps.lara.state.mi.us/BscComplaintIntakeForm 

  • Centers for Medicare and Medicaid Services, Beneficiary Complaint Response Program, by calling 1-800-MED-ICARe (1-800-633-4227).  For the hearing impaired please dial 1-877-486-2048. 

  • Submit a letter with the following information: 

    • Complainant’s name, address and phone 

    • Facility name and location 

    • Patient name and location 

    • Date & Nature of incident 

  • Mail written complaints to: 

    • Michigan Department of Community Health Bureau of Health Systems 

Complaint Investigation Unit 

PO Box 30664 

Lansing, MI 48909 

Phone: 800-882-6006 (toll free) FAX: 517-241-0093 

OR 

    • The Joint Commission 

Office of Quality Monitoring 

One Renaissance Boulevard 

Oakbrook Terrace, IL 60181 

Fax to 630-792-5636 or 

www.jointcommission.org, using the “Report a Patient Safety Event” link in the “Action Center”