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.
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).
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 |
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mwcacknowledgmentofofficepolicy.pdf | |
File Size: | 100 kb |
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mwcnoticeofprivacy.pdf | |
File Size: | 110 kb |
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mwcpatienthistory.pdf | |
File Size: | 57 kb |
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mwcpatientswithmedicare.pdf | |
File Size: | 167 kb |
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