6000 24 Mile Road, Shelby Township, Michigan 48316
Appointments: 586-884-6702
QUICK LINKS
Bill Payment
Patient Portal
Patient Portal
Patient Portal
Patient Portal
Patient Portal
Gail Model
Patient Portal
Gail Model
Office Forms
New Patient Paperwork
We welcome you to our office and want to thank you for the trust you have placed in us to care for your health. Completing these forms prior to your appointment will ensure a smooth check in process. Make sure to bring a list of all medications you are currently taking, along with a photo ID and insurance card with you to your first appointment.
Medical Records Release Form
If you need a copy of your medical records, complete this form and fax it to 586-677-3326 or drop off to our office. A record copying fee may apply.