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(517) 487-5171
Fax (517) 908-0172

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New Patient Forms

During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor.  We accept most insurances.

Patient Forms

Please print and fill out the New Patient forms so we can expedite your first visit.

pdf podiatry patient form downloadOffice Policies

pdf podiatry patient form downloadPatient History and Information

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

  • Patient's insurance card
  • List of current prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about patient's medical and surgical history
  • Recent test results, x-rays, or relevant records

Insurance and Payment Information

Insurances Accepted:

  • Medicare
  • Blue Cross Blue Shield
  • Blue Care Network
  • Physicians Health Plan
  • McLaren Health Plan
  • Aetna
  • Cofinity
  • Tricare
  • United Healthcare
  • Cigna
  • Humana

It is the patient's responsibility to check their insurance for provider participation, member copays, member deductibles, and office authorizations prior to their appointment. If you have questions regarding billing or which insurance plans we accept, please call our office (517) 487-5171. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

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