You may register for your first visit by filling out our secure online Patient Registration Form.

After you have completed the forms, please make sure to press the Submit button at the bottom of each to send us your information. This registration only needs to be completed for the first appointment.

Please allow one business day for us to receive your paperwork electronically.

We also recommend printing the form once completed, and bringing it to your appointment to ensure accuracy.

The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Please read our Notice of Privacy Practices


Patient Registration

Patient Registration Form (Warren)

Patient Registration Form (Grosse Pointe)

Patient Registration Form (Rochester)

Patient Registration Form (Macomb)

Patient Registration Form (Romeo)