If you would like a referral request, please fill out the form below. If you need immediate assistance call our office 248.852.5177.

Office Policy
All referrals must be notified to our staff 7 business days BEFORE the appointment date, otherwise referrals may not be done on time.

ALSO
After your referral date is set up it is your responsibility to contact the referred doctor’s office 48 hours before the appointment date to insure your referral is approved to be seen. If there are any discrepancies it is your responsibility to contact us in this 48 hour period.

Thank you, Office Staff :)

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