New Patients

 Appointments

 Preventive Care

 Esthetics

 Insurances

 Office Policies

Our Address:

23800 Ford Rd

Dearborn Heights MI 48127

Phone (313)274 8181

After Hours Answering Service (586)415-2324

FAX (313)274-7843

Office Hours        Directions

Dear Patient

Please print and fill out our forms. This will save you a lot of time at the check-in. It is important that we have your pharmacy address and phone number available as we use electronic prescribing.  At the time of check-out, please fill out our patient satisfaction survey. Your feedback is important to us.

Please remember, it is your responsibility to understand your insurance policy prior to seeking our medical services. Most  policies have co-payments (payable at the time of the visit) and deductibles (payable after insurance response).  Payment for non-covered services is due at the time of the visit.

History & Physical

Patient Registration

Disclosure of Health Information

  Patients Satisfaction Survey

You will need Acrobat Reader to read and print the forms