CHCWM – Cancer & Hematology Centers of West Michigan

New Patient Referral Providers Fax Information

Alternatively, you may fax our referral form to one of our locations listed below.

Cancer & Hematology Centers East – Benign Hematology Clinic
Fax: (616) 389-1695

Holland Cancer Center
FAX (616) 389-1714

Cancer & Hematology Centers – Muskegon
FAX: (616) 977-4847

Lacks Cancer Center at Saint Mary’s
FAX: (616) 977-4846

Lemmen-Holton Cancer Pavilion
FAX: (616) 389-1708

Our representatives will promptly schedule a patient appointment, reach a consulting physician and provide help with any needed arrangements or information about CHC.

REFERRAL FORM

Referral Form