Depo Provera Injections

If you are currently getting depo provera
injections at another physician's office and wish to get them here, you need to do the following:

  • Stop by Foust 200 at least one week prior to your next injection.
  • Bring your current clinician's name and fax number.
  • Fill out the depo fax form at our clinic and it will be faxed to your clinician.
  • Once the completed form has been returned to us, you will be eligible to receive your depo provera injections at our clinic.

For your convenience, depo forms are available under the "downloadable forms"  link on the right sided navigation bar.  If you wish, you may print the form, complete it and bring it in to Foust 200 for us to fax.

Central Michigan University • 1200 S. Franklin St. • Mount Pleasant, Mich. 48859 • 989-774-4000