Patient Forms

Patient Documentation Information

We encourage you to download and fill out the following forms prior to your scheduled initial evaluation. You may also fax your completed forms to (810) 354-8902. Our office will then call or email confirming that we received the documents.

Important Information

We do not require you to download or send in the Notice of Privacy Practices, but we encourage all patients to thoroughly read through our Notice of Privacy Practices. Our Acknowledgement-Permission Form above is the written acknowledgement and acceptance of our Privacy Practices.