| 7010 Pontiac Trail Suite B West Bloomfield, Michigan 48323 Appointments: 248-363-3232 Fax: 248-363-3455 We use Electronic Records |
Trees & Grasses are now pollinating!! Don't suffer another season, come see us now!
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Please fax/drop off or mail
the New Patient Registration Form to us prior to your appointment, this will shorten the time it
takes to check you in at your first appointment.
Do not forget to contact your primary care doctor if you require a referral.
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New Patient Forms |
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Choose one New Patient Registration Form- easy to email form, type and save to your computer
New Patient Registration
Form- Print then fax or drop off prior
to your appointment |
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Print and bring with you to your appointment New Patient Forms- Print and sign and bring to your appointment Medical Privacy - National Standards to Protect the Privacy of Personal Health Information HIPAA -Please read prior to your appointment. New Patient Information -please print and read (what to expect with your first appointment and list of meds to stop)
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