Patient Forms

Patient Forms

In order to make your first visit to our office as easy as possible we offer the following documents you can complete, print and bring to your first appointment.

  • Medical History Form
    PDF (click the back button in your browser when done viewing and/or printing document)
  • Notice of Privacy Practice
    Please review our Notice of Privacy Practices and then complete our Acknowledgement, print it and bring with you to your first visit. We only need the signed and dated Acknowledgement, it is not necessary to print out the Notice. Acknowledgement of Notice PDF (click the back button in your browser when done viewing and/or printing document)
  • You might also like to review our list of items that we provide during your first appointment and all continuing care appointments.

Your total health is important to us!

What To Expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with the doctor. We look forward to your first visit.


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Quality professional team members that pride ourselves in furthering education to ensure you get the quality care you deserve.

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Come See Us

7110 Highland RoadWhite Lake Charter Township, Michigan 48383Get Directions(248) 887-8387


Contact Us

We encourage you to contact us with any questions or comments you may have. Please call our office or use the quick contact form below.

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