Patient Forms

For your convenience, below are our patient intake forms. Just click to download, fill them out and bring them with you to your appointment. This will speed up your visit.

Child History Form

Adult History Form

Referral Form

Patient Info Form

Patient Financial Responsibility

Privacy Notice

Treatment Authorization

Consent to Share

Medical Records Release Form

Medical Information

HIGH BLOOD PRESSURE

Attached is an article on Lowering Your Blood Pressure with Dash and a link for additional information. http://www.nhlbi.nih.gov/hbp/index.html

GOOD RX

Click here to learn more about how you could save with GoodRx.

TRANSPORTATION SERVICES

Go Seniors 248-929-9000
Loving Touch 586-992-1024
Go Go Grandparent 855-464-6872

Office Hours

Mon-Thu:
Friday:
Saturday: 9AM - 6PM
9AM - 5PM
Closed