Request Appointment

To schedule your appointment please call:

  • Madison Heights Office – (248) 399-1060
  • Shelby Township Office – (586) 803-0303

All new patients are asked to bring the following:

  • Prescription/referral from you doctor
  • X-rays, and reports, and/or MRI CD and/or reports, any other test results
  • List of your medications
  • Valid ID/Drivers License
  • Insurance information
  • Medical and surgical history information

You can print following following forms and bring them with you for your first appointment. If you do not have an access to a printer, please arrive 15 minutes earlier to allow enough time for the paperwork.

  • Patient Information From
  • Notice of Privacy

Appointment Form

"*" indicates required fields

Name*
MM slash DD slash YYYY
MM slash DD slash YYYY