Patient Registration Form

Please fill out the following form to help us understand your physical condition.

Martial Status
Insurance

Insurance Carrier: Please complete the information below for the individual who owns the insurance policy.

Dr. Mona Hardas

Obstetrics & Gynecology

Our Address

Email: hardasobgyn@gmail.com
Tel: 810.720.1790

Fax: 810.337.1170
3353 Fleckenstein Dr

Flint, MI 48507

Clinic location
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Office Hours

Monday through Thursday: 8 a.m. to 5 p.m.
Friday: 8 a.m. to 1 p.m.
Saturday and Sunday: CLOSED

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