6000 24 Mile Road, Shelby Township, Michigan 48316
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Appointments: 586-677-3310

Partners in Family Medicine

Your Patient Centered Medical Home

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HIPAA Privacy Notice

HIPAA Notice (pdf)
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New patient forms

Print and complete these 6 forms along with a list of current medications and bring them with you to your first appointment.

Patient Demographic form (docx)
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Patient Consent (pdf)
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PCMH Agreement (pdf)
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Patient Office Policy (pdf)
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No Show Appointment Policy (docx)
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Release of Information (pdf)
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