New Patient Forms
Please download both New Patient Information Sheets (A and B).
These PDF forms are fillable (by the usual Adobe Acrobat Reader DC, available as a free download on the Adobe website). You can save them on your computer and email them back to firstname.lastname@example.org. Otherwise, download the forms and make your changes, then scan and email them back to the same address. You also may fax them to (248) 281-1764, or just 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) 228-2990 and have your insurance card and the name of your primary care physician handy when you call.
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 (as stated above).