Patient Information

Patient Forms

Pleases print out and complete the available forms below and bring them along to your appointment. This will help expedite the check-in process. If you are unable to do this, we can help you with these forms upon your arrival.

Insurance Information

We accept the following Insurances:

  • Medicare
  • Medicare Railroad
  • Medicare Advantage
  • Medicare Plus Blue
  • Medicare Aetna Open Plan-ppo
  • Blue Cross Blue Shield of Michigan
  • Aetna EPO, PPO, POS
  • Cigna PPO, POS, EPA, EPO
  • Beech Street
  • United Healthcare
  • Private Healthcare Systems
  • Health Alliance Plan
  • Beaumont Employee Health Plan
  • Alliance Health and Life-EPO, POS, PPO
  • Tricare
  • First Health
  • Multi Plan
  • Preferred Choices PPO
  • Messa PPO
  • United Physicians Health Insurance Plan25


We accept the following:
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An Appointment

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Office HoursMonday – 8:00am – 4:00pm
Tuesday – 8:00am – 5:00pm
Wednesday – 8:00am – 5:00pm
Thursday – 8:00am – 5:00pm
Friday – 8:00am -2:00pm