Patient Information and Forms

Appointment Checklist

  • Please bring in a copy of the patients insurance card and the drivers license of the primary cardholder.
  • Legal Guardians should bring proof of guardianship.
  • If someone other than the parent or legal guardian brings in a child under the age of 18, they should have a written note of consent to provide care for that child.
  • A patient who is new to our practice should arrive 15 minutes prior to their appointment time to complete paperwork. You may also print the paperwork from this site and bring it with you to the appointment.




Online Forms for New Patients (please complete all tabs)


Other Health Forms 

42141 Mound Road  -  Sterling Heights, MI 48314  -  phone: 586-254-7593  -  fax: 586-254-7834