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.

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Insurance Information

We accept the following Insurances:

  • Aetna-All products
  • Aetna Medicare Advantage
  • AARP
  • Blue Care Network
  • Blue Cross Complete (medicaid) Drs
  • Altman, Gildenberg only
  • Blue Cross PPO (TRUST/Community Blue)
  • Blue Cross Traditional
  • Blue Preferred Plus
  • ChampVA
  • Cigna-approved through HAP
  • Health Alliance Plan all products
  • Health Plus Medicare Advantage PPO
  • HAP
  • HealthPlus of Michigan-PPO-HAP
  • Humana Medicare Advantage PPO
  • Humana One
  • Humana HMOx
  • Humana Gold Choice PFFS PPO HMO
  • Humana Military/Tricare East
  • McLaren Health Plan Advantage PPO
  • HMO
  • Medical Mutual
  • Medicare
  • Medicare Plus Blue PPO
  • Multiplan
  • NGS/CoreSource-approved through
  • HAP
  • Palmetto GBA-Railroad Medicare
  • Priority Health Medicare
  • Priority Health PPO HMO
  • Tricare Standard
  • TriWest Health Alliance
  • UMR Beaumont Employee Health Plan
  • United Healthcare
  • US Health and Life-approved through
  • HAP
  • Varipro
  • Veterans Choice

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