New patients should download and complete these forms:
1. New patient registration
2. HIPAA privacy form
3. Credit Card Form
4. New patient history form
Please bring these to your office visit. Complete as best you can, don't worry about anything not understood or informaiton you do not have easily available. We look forward to seeing you soon.
| The remaining forms pertain to Complete Physical Examinations or General Information.
PHYSICAL EXAM OFFICE PROTOCOL (TRIAL)
Thanks for your
patience as we start a new and improved way of completing physicals in our
office. Physicals will now be done in a 2 step process. The first step will be
a non-doctor visit to perform testing that your doctor has ordered. The second
step will be for the actual Complete Physical Exam with your doctor or
Physician Assistant.
Please download the
“Physical Examination Questionnaire" (below) and complete this form in its
entirety. Once completed, either mail or fax back to our office at 248-543-0562.
After the form is
received, we will review your Health Information Form and determine what type
of testing, if any, will be ordered. We will then call you to schedule a
non-doctor visit to perform any testing that has been ordered. Testing often
includes; fasting blood work, a Chest X-ray and/or an EKG.
Once your first
visit is complete, while leaving our office we will schedule you for the second
visit, which will be for your Complete Physical Exam. If you have any
additional questions regarding these steps, please don’t hesitate to call our
receptionist and they can answer any additional questions you may have.
Thank you
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When completing this form, just do your best to complete the personal medical history and family history sections--the insurance and other information is less important as we will usually have all of this already. Don't stress over this, and don't spend too long working on it. It's fine to include the pertinent medical information and just ignore the rest if you wish.
Thanks. We look forward to seeing you at your appointment, if you need anything prior to your visit please call the office @ 248.543.0600
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