6000 24 Mile Road, Shelby Township, Michigan 48316
Appointments: 586-884-6702
New patient forms
Print and complete these 5 patient forms along with a list of current medications and bring them with you to your first appointment.
You can find our HIPAA policy listed below for your reference.
Releases
Print and return the medical release form to our office if you need your medical record sent or requested to/from another healthcare provider.
HIPAA Privacy Notice
Payment Link via Text Message
In order to help alleviate our administrative burdens, you may receive a text or email with a link to pay from instead of a paper statement. This is a valid request from our office and
we appreciate you utlizing this option.