New Patients

Office Forms

Health Appraisal Forms for School and Sports

• Michigan High School Association Form-(MHSAA)
• Michigan Health Appraisal Form
  

Allen Park Office Forms

• Adult Well Visit Form
• Pediatric Well Visit Form
• Authorization to Release Healthcare Information
• New Patient Form

Dearborn Office Forms

• Medical Information Release Authorization
• Addendum to HIPAA

Livonia Office Forms

• Adult Health History Form
• Pediatric Health History Form

• Addendum to HIPAA
• Patient Registration Form
• HIPAA
• HIPAA Acknowledgement
• General Consent to Treatment

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What To Expect

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