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Directory of Charges
When online payment is not available, required fees will be collected by the staff member accepting the application. Fees can be paid in cash, check (payable to "The City of Traverse City"), or credit card (with an additional processing fee).
When submitting your request, please give a sufficient amount of detail to help ensure accuracy of your request.
This form is used when releasing protected health related records about yourself
This form is used when requesting protected health related records about someone else, NOT yourself.
See Application
Fee: $25
Fee: $175
Fee: See Application
Fee: $20 Annually & $4000 surety bond
Ch. 1446.01