New Patient Forms & Accepted Insurance
New Patient Form
Please download and fill out our New Patient form, and bring it to your first visit. You only need to download either the PDF or DOC version below, whichever is easier for you to download and fill out.
Release of Patient Information
Please download and fill out our Release of Patient Information form, and bring it to your first visit. You only need to download either the PDF or DOC version below, whichever is easier for you to download and fill out.
Notice of Privacy Practice
Please download and fill out our Notice of Privacy Practice form, and bring it to your first visit. You only need to download either the PDF or DOC version below, whichever is easier for you to download and fill out.
Office Policy
Please download and fill out our Office Policy form, and bring it to your first visit. You only need to download either the PDF of DOC version below, whichever is easier for you to download and fill out.
- AETNA
- ASR
- Blue Care Network
- Blue Cross Anthem
- Blue Cross Blue Shield of Michigan
- Blue Cross of Illinois
- Cigna
- First Health Network
- HAP PPO/HMO
- Humana/Humana
- Military/Tricare
- Medicare
- Priority Health PPO/HMO
- University of Michigan Health Plan
- Cofinity
What our patients are saying
Our patients come from all walks of life, and their stories reflect our dedication to exceptional care. We’re proud to have made a meaningful difference in their lives through personalized treatment and genuine compassion.