Lapeer - 810-667-9000
Romeo - 586-752-4100
Frankenmuth - 866-593-2313

Patient Forms

Click on any of the links to view our patient forms. If you have a printer, you may optionally print the forms and fill them out at home prior to your appointment.

 

All forms require Adobe Acrobat - Get it Here!

 

 

New patient forms

  • Welcome Letter
  • Patient Registration
  • Patient Medical Information
  • Financial Policy


    Miscellaneous forms

  • Medical Records release form
  • Treatment of a Minor form
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