[cs_content][cs_element_section _id=”1″ ][cs_element_row _id=”2″ ][cs_element_column _id=”3″ ][cs_element_gap _id=”4″ ][cs_element_headline _id=”5″ ][cs_content_seo]We are currently welcoming new patients. \n\n[/cs_content_seo][cs_element_gap _id=”6″ ][cs_element_text _id=”7″ ][cs_content_seo]You will find new patient forms below for your convenience.
Please download our Patient Information Sheet. It s provided in both Word and PDF forms.
The PDF form can be filled out electronically. You can use the usual Adobe Acrobat Reader DC, available as a free download at get.adobe.com/reader. You can then save it on your computer and email the completed form using the contact information below.
You can also download the Word version of the form, make your changes, then scan and email back to the address shown below.
Faxed forms are also acceptable, or you can print and bring a copy to the office. Don’t worry, we have extras if you forget them.
Email forms to: [email protected]
Fax forms to: 888-368-7898\n\n[/cs_content_seo][cs_element_gap _id=”8″ ][/cs_element_column][cs_element_column _id=”9″ ][cs_element_headline _id=”10″ ][cs_content_seo][x_icon type=”comment-o”] Your First Visit\n\n[/cs_content_seo][cs_element_text _id=”11″ ][cs_content_seo]On the day you arrive at our office, we will ask you for a copy of your driver’s license and insurance card, as well as a referral from your primary care doctor, if needed. In addition, we will ask you to fill out patient information forms. For your convenience, you may download these forms through the website and complete these prior to your visit.\n\n[/cs_content_seo][/cs_element_column][/cs_element_row][cs_element_row _id=”12″ ][cs_element_column _id=”13″ ][cs_element_button _id=”14″ ][cs_content_seo]Patient Information Sheet (Doc Version)\n\n[/cs_content_seo][/cs_element_column][cs_element_column _id=”15″ ][cs_element_button _id=”16″ ][cs_content_seo]Patient Information Sheet (PDF Version)\n\n[/cs_content_seo][/cs_element_column][cs_element_column _id=”17″ ][cs_element_button _id=”18″ ][cs_content_seo]HIPAA Privacy Notice\n\n[/cs_content_seo][/cs_element_column][cs_element_column _id=”19″ ][cs_element_button _id=”20″ ][cs_content_seo]Nondiscrimination Notice\n\n[/cs_content_seo][/cs_element_column][/cs_element_row][cs_element_row _id=”21″ ][cs_element_column _id=”22″ ][cs_element_gap _id=”23″ ][cs_element_headline _id=”24″ ][cs_content_seo]Interested in becoming a new patient? \n\n[/cs_content_seo][cs_element_gap _id=”25″ ][cs_element_text _id=”26″ ][cs_content_seo]Simply call us at (248) 353-0880 and have your insurance card ready, along with the name of your primary care physician. We participate with most major health plans. Please contact us to verify that we are a participating provider. Please remember that many cosmetic treatments (such as chemical peels, microdermabrasion and laser) are not covered by insurance. \n\n[/cs_content_seo][/cs_element_column][/cs_element_row][/cs_element_section][cs_element_section _id=”27″ ][cs_element_row _id=”28″ ][cs_element_column _id=”29″ ][cs_element_headline _id=”30″ ][cs_content_seo]Insurance Plans We Accept\n\n[/cs_content_seo][cs_element_gap _id=”31″ ][cs_element_line _id=”32″ ][cs_element_gap _id=”33″ ][/cs_element_column][/cs_element_row][cs_element_row _id=”34″ ][cs_element_column _id=”35″ ][cs_element_text _id=”36″ ][cs_content_seo]APCN
Ascension Smart Health
BCBSM (Blue Cross Blue Shield of Michigan)
Blue Care Network (Commercial & Medicare)
Cigna
Cigna (HAP Preferred)
HAP Commercial
\n\n[/cs_content_seo][cs_element_gap _id=”37″ ][/cs_element_column][cs_element_column _id=”38″ ][cs_element_text _id=”39″ ][cs_content_seo]HRGI
Humana (Medicare)
Oscar Health
Priority Health (Commercial & Medicare)
Total Healthcare
TRPN (Three Rivers Provider Network)
United Healthcare (Commercial & Medicare)\n\n[/cs_content_seo][cs_element_gap _id=”40″ ][/cs_element_column][/cs_element_row][cs_element_row _id=”41″ ][cs_element_column _id=”42″ ][cs_element_text _id=”43″ ][cs_content_seo]OTHER FORMS OF PAYMENT: Cash, Check, Credit Card\n\n[/cs_content_seo][cs_element_gap _id=”44″ ][cs_element_text _id=”45″ ][cs_content_seo]We’re a Patient-Centered Medical Home.\n\n[/cs_content_seo][cs_element_gap _id=”46″ ][cs_element_button _id=”47″ ][/cs_element_column][/cs_element_row][/cs_element_section][/cs_content]
