Please download both New Patient Information Sheets (A and B). They are provided in both word and pdf forms. The PDF forms are fillable (by the usual adobe acrobat reader dc, available as a free download on the adobe website), and you can save them on your computer and email back to firstname.lastname@example.org. Otherwise, download the word forms and make your changes, then scan and email back to the same address. Faxing them to 888-368-7898 will be fine as well. You can also just print and bring a copy to the office. Don’t worry, we have extras if you forget them. ?
We are currently welcoming new patients. Simply call us at (248) 353-0880 and have your insurance card and 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.
Your First Visit
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.
Patient Form A Patient Form B HIPAA Privacy Notice Nondiscrimination Notice