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Medical Practice management Consulting PLLC
Medical Practice management consulting, PLLC
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  • Home
  • Internal Medicine
  • Weight Management
  • New Patient Forms
  • Contact US

New Patient Forms

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  2. New Patient Forms

New patients should fill out the following forms. Please click and download, print and fill the forms. This will make your waiting time shorter. They include basic information, like your contact information, emergency contact.

WELCOME-TO-OUR-OFFICE-LETTERDownload
WELCOME-LETTER-ACKNOWLEDGEMENTDownload
PATIENT DEMOGRAPHICSDownload
MEDICAL-HISTORY-1Download
PATIENT PORTAL CONSENT FORMDownload
E-PRESCRIPTION CONSENT FORMDownload
MEDICAL HISTORYDownload

Questionnaires

Diet QuestionnaireDownload

Call

 248-681-2226

Clinic Hours

Monday: 9:00 AM-4:00 PM
Tuesday: 9:00 AM-5:00 PM
Wednesday: 9:00 AM-6:30 PM
Thursday: 9:00 AM-4:00 PM

Address

3901 Highland Rd
Suite A
Waterford Twp, MI 48328

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Address: 4000 Highland Rd #110 | Waterford Township, MI 48328