Appointment Information

Appointment Information

About Your Visit

On your first visit please arrive 30 minutes prior to your appointment time and bring the completed forms from the list below.  If your insurance requires a referral please bring it to your appointment. We look forward to meeting you! 

Also have the following items with you:

  • Valid Drivers License or State ID
  • Insurance card(s)
  • List of medications you take on a regular basis, including over-the-counter medications and vitamins.
  • List of surgeries or medical procedures you have had
  • Payment for your co-pay or any non-covered services. For your convenience, we take cash, check, VISA, MasterCard, and Discover.

Patient Forms

Financial Policy

  • All copays, deductibles, and non-covered service charges are due at the time of service.
  • There is a $10 per month statement fee for all balances over 30 days.
  • There is a $5 fee to complete forms for disability, insurance, FMLA, etc., which is required before the forms can be completed.
  • NSF checks are charged $35.

Urgent / Emergency After Hours Information – If there is a medical emergency dial 911. If you have urgent concerns that occur after office hours please call our office at 248-656-2022 and you will be routed to our answering service. Please note, medication refills are completed during normal business hours only.