New Patients

You're in great hands

We make sure all our new patients feel welcome, safe, and taken care of. During your first visit, we'll get to know you and your child and make sure that both of you feel comfortable. It's our goal to diagnose the problem, treat your child and have them leave a happy camper.

For a shorter time in the waiting room, please fill out the New Patient Registration and Consent Forms, and bring them to your appointment.

The following individual forms are included in the New Patient Registration and Consent Forms.

Patient , Insurance, and Parent/Guardian Information Form

Notice of Privacy Practices Acknowledgement

Financial Policy

Patient Consent Change for Medications

Notice of Health Insurance Information

Immunization Record Information

Vaccine Policy

Usage of Phone, SMS and E-mail Acknowledgement

Use of Freed, an AI-Powered Medical Documentation Tool

New Patient Portal Registration

For new patients with NO prior visits or scheduled appointments.

Please verify insurance participation before self-registration:

• Patient Portal Registration

We are a Patient Centered Medical Home (PCMH). For more information, please see the following forms:

• Patient Centered Medical Health Agreement

• Where to go after hours?

Accepted Insurances:

• AETNA

• ASR

• BC/BS of MI PPO

• BC/BS Out of State PPO

• BC/BS Messa PPO

• Blue Care Network

• CIGNA

• COFINITY

• GEHA

• HAP Cigna Preferred

• Health Equity

• Humana

• Multi Plan

• PHCS

• Priority Health HMO/PPO

• UMR (Beaumont)

• UnitedHealthcare

• UnitedHealthcare Members can find a list of providers at UnitedHealthcare.com