Call Us: 734.434.3020
Find Us: 4972B W. Clark Rd., Ste 200, Ypsilanti, MI 48197
Schedule an Appointment

Policies and Forms

We recommend that you download and bring these forms filled out to your appointment and also that you take the time to understand the patient responsibilities before you schedule your appointment. Please call 734.434.3020 if you would prefer to have these documents mailed to you and also if you have any questions.

Plan on arriving 15 minutes before your first appointment time with us so that we can get you registered. Thank you.

New Patient Forms

New Patient Office and Billing Policies
New Patient Information Form
Patient Authorization Form
Patient Provider Partnership Brochure

HIPAA

HIPAA

Payment Options

We accept personal checks, cash, money orders, and