Services to speed recovery.
Your name
Daytime phone number
Date of birth
Primary Care Physician (PCP)
Insurance Employer (cardholder)
Referring Physician
Body Part
Insurance Company (primary)
Contract number, group number, and phone number on your insurance card
Insurance Company (secondary)
Insurance Company (primary)
To help us complete your chart, please download the introduction information for your insurance and the questionnaire for your injury. Please bring completed forms with you to your appointment.
Cigna HMO (referral required)
Cigna PPO
Cofinity
Connecticut General PPO
DMC PSO/PPPC
Great West/One Health
HAP HMO (referral required)
HAP/PHP (CIGNA)
HRM - CBC
Medicare
Medicare Advantage
Medicare Plus Blue
Medicaid (straight)
Multiplan
One Health
Palmetto GBA
PHCS
PHS
Priority Health
Teamsters PPOM
Tri-Care
UMWA Medicare retiree
United Healthcare
Workers Comp
Phone: 734-464-0473
Hours:
Monday 7:am - 7:00pm
Tuesday 8:00am - 7:00pm
Wednesday 7:00am - 5:00pm
Friday 7:00am - 5:00pm
Saturday 9:00 - 12:00pm
Please download our forms and complete for a faster visit.