
WE ARE ALL ABOUT
HELPING PEOPLE
Phone: (248) 651-2620
CONTACT US
We Are Here To Help
You want to make the most of your doctor’s visit, but you don’t want to waste time filling out paperwork.
Here’s what you can do before coming in to the office to ensure that the doctor gets all the information he needs and that all your concerns are addressed:
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If this is your first visit, print and fill out the New Patient Questionnaire and the Appointment Policy forms.
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Print, fill out, and bring with you the Appointment Checklist.
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If you were seeing a different doctor in the past, please print and fill out the Release of Information form. Take this form to your former healthcare provider, so that your records can be released to us prior to your visit.
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Print and fill out the Medical Concerns worksheet.
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NOTE: Not all forms are currently available on this website. You can contact the office directly and request that the missing form be either faxed or emailed to you.
Download Forms Below
New Patient Form and
Release Form
Release Form
in Romanian
Please bring the forms filled in prior to your visit or email them to us.
Our Address
2710 S Rochester Rd
Rochester Hills, MI 48307
Phone: (248) 651-2620
Opening Hours
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
9 AM - 4 PM
9 AM - 4 PM
Closed
9 AM - 4 PM
9 AM - 4 PM
Closed
Closed