Services to speed recovery.
Schedule An Orthopedic Appointment
The office is open from 8:00AM - 4:30PM Monday through Friday
Phone : 734-464-0400
To help us complete your chart, please download the New Patient, Health History, Liability, Policy and Financial Privacy forms. Please bring completed forms with you to your appointment.
Your name and birth date.
Have you been a patient with us before?
Is this a Auto or Work related injury?
What is the name of your insurance company?
What is the contract number, group number on your insurance card?
Who is the card holder of the insurance?
Is the patient a minor?
Were you seen in the emergency room at St Mary Mercy Hospital?
Insurances Accepted
AARP (United Healthcare)
Aetna EPO, POS
Aetna HMO (referral required)
Aetna managed care
Aetna open choice
Aetna/PPOM
Aetna Health Fund
Aetna US Access
Alliance (EPA)
Alliance (point of service)
Alliance Health and Life (PPO)
BCN (referral required)
Blue Choice
Beechstreet
BCBS
Blue Cross Traditional
Blue Preferred
Blue Preferred Plus
Choice Care/Humana
Cigna HMO (referral required)
Cigna PPO
Cigna (POS)
Cofinity
Connecticut General PPO
DMC PSO/PPPC
Great West/One Health
HAP HMO (referral required)
HAP/PHP (CIGNA)
HRM - CBC
Humana
Medicare
Medicare Advantage
Medicare Plus Blue
Medicaid (straight)
Multiplan
One Health
Smart
Palmetto GBA
PHCS
PHS
Priority Health
Teamsters PPOM
Tri-Care
UMWA Medicare retiree
United Healthcare
Workers Comp
Download Forms
Please download forms and print them below.
