Patient Forms

Pleases print out and complete the available forms below and bring them along to your appointment. This will help expedite the check-in process. If you are unable to do this, we can help you with these forms upon your arrival.

If you're unable to open these files, you probably need to download the free Adobe Reader program, click here to download or click on the Adobe Reader icon

Insurance Information

We accept the following Insurances:

  • Aetna-All products
  • Aetna Medicare Advantage
  • AARP
  • Blue Care Network
  • Blue Cross Complete (medicaid) Drs Altman, Gildenberg only
  • Blue Cross PPO (TRUST/Community Blue)
  • Blue Cross Traditional
  • Blue Preferred Plus
  • ChampVA
  • Cigna-approved through HAP
  • Health Alliance Plan all products
  • Health Plus Medicare Advantage PPO-HAP
  • HealthPlus of Michigan-PPO-HAP
  • Humana Medicare Advantage PPO
  • Humana One
  • Humana HMOx
  • Humana Gold Choice PFFS PPO HMO
  • Humana Military/Tricare East
  • McLaren Health Plan Advantage PPO HMO
  • Medical Mutual
  • Medicare
  • Medicare Plus Blue PPO
  • Multiplan
  • NGS/CoreSource-approved through HAP
  • Palmetto GBA-Railroad Medicare
  • Priority Health MedicareA27
  • Priority Health PPO HMO
  • Tricare Standard
  • TriWest Health Alliance
  • UMR Beaumont Employee Health Plan
  • United Healthcare
  • US Health and Life-approved through HAP
  • Varipro
  • Veterans Choice

Request Appointment

Get Directions

an Appointment

  • * All indicated fields must be completed.
    Please include non-medical questions and correspondence only.
  • This field is for validation purposes and should be left unchanged.


Office Hours
Monday – 7:30am – 5:00pm
Tuesday – 7:30am – 5:00pm
Wednesday – 7:30am – 4:00pm
Thursday – 7:30am – 5:00pm
Friday – 7:30am – 12:30pm
Scroll to Top