Mindful Wellness Center
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Appointments


To make an appointment please call (248) 560-7603. Typically, a new patient evaluation is scheduled for an hour. Initial follow-up appointments are also scheduled as a half hour or 45-minute appointment to provide optimum care. 

New Patients
 

If you are new to the practice, please fill out following forms and bring with you to your appointment
    Patient Registration
    Patient History
    Notice of Privacy
    Acknowledgment of office policies

    Private Contract for Patients With Medicare: Kindly fill out the form and bring certified/notarized copy to the appointment.

If you are unable to fill out the forms please arrive 20 minutes prior to appointment time to complete paper work.
Please bring driver's license, list of current medications and lab-work results to office visit.

Payment for the services must be paid in full at the time of service. Payment may be made by cash, check, debit card and credit card (Visa, Master Card).



mwc_patient_registration.pdf
File Size: 264 kb
File Type: pdf
Download File

mwcacknowledgmentofofficepolicy.pdf
File Size: 100 kb
File Type: pdf
Download File

mwcnoticeofprivacy.pdf
File Size: 110 kb
File Type: pdf
Download File

mwcpatienthistory.pdf
File Size: 57 kb
File Type: pdf
Download File

mwcpatientswithmedicare.pdf
File Size: 167 kb
File Type: pdf
Download File

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