New patient forms
Welcome! Completing your paperwork before your first visit saves time when you arrive. Download, print, and fill out the forms below, then bring them in or fax them ahead.
Welcome, new patients!
We always welcome new patients and do our best to offer convenient appointment times. Call our Novi office to schedule, or use our online request feature.
Please bring your insurance card so we can make a copy for our records. If your plan requires a referral from your primary care doctor, please obtain one before your appointment.
New Patient Form
Your registration and medical history. Please complete all pages before your first appointment.
Download PDFPatient Provider Agreement
Our agreement outlining the care relationship and your responsibilities as a patient.
Download PDFNotice of Privacy Practices
How we protect and handle your personal health information under HIPAA.
Download PDFEach form opens as a PDF in a new tab. Print it, complete it, and bring it to your appointment, or fax it ahead to 248-348-5410. Prefer to do it online? Use our Patient Portal.
Book your first visit
Call our Novi office or request an appointment online, and we'll get you in at a convenient time.