Forms + Policies

Office Policies

Administration Fee Policy

Well Child Visit Policy

Time of Service-CoPay-Account Balance Policy

Sick Visit Masking Policy

Patient Centered Medical Home Agreement

Controlled Substance Policy

New Patient Forms

Patient Demographics Form

Office and Financial Policy

Medical Records Release

Consent To Treatment of a Minor

HIPPA Compliance Consent

Acknowledgement of Office Policies

Common Forms

Michigan Health Appraisal Form

MHSAA Sports Form

School Medication Authorization Form

Asthma Action Plan

Athena Patient

Is your child already a patient? Download the Athena Patient app for easier access to the patient portal, self check-in, after visit summaries, refill requests and so much more!

Available on Google Play and the Apple App Store.