Patient Information Forms

Our ability to accept new patients is variable, so please call or email if you wish to become a patient.

We currently do not have a secure way to accept these electronically. Please do not email them, but rather snail mail, fax to 810.635.4357 or drop off in person. If you have questions, please give us a call.

• New Patient Forms:

  • Adult

  • Child

  • Newborn

Visit Forms

Print and fill out prior to your appointment (if instructed)

Referrals

If in the course of your medical care it becomes necessary to refer you to a specialist, please be advised we utilize the Genesys PHO panel of preferred providers.

Advance Directive

Notice of Privacy Practices

Patient Education

Exercises

• Low back stretches

• Foot and Ankle stretches

• Shoulder Stretching & Strengthening

• Basic Hip Exercises

• Basic Knee Exercises

• Hand and Wrist and Forearm exercises

• Basic Balance exercises

• Basic Neck Exercises

• Exercises for Strong Bones (osteoporosis and osteopenia)

Diets

• Low purine / Gout

• High Fiber foods (for diverticulosis, IBS, constipation)

• Low sodium

Aging

• Dementia

• Memory Care

• Dementia and Memory products

Other

• Sleep Hygiene

• Breathing Techniques for Anxiety

• Pain/Fever Medication dosing for children