Request Appointment

Please note that this form is for requesting appointments only. Availability will vary and someone from our office will call you to confirm your appointment request.
Please do not submit any Protected Health Information.

Date You Would Prefer(*)
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Full Name(*)
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Email(*)
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Phone(*)
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How did you hear about us?
How did you hear about us?

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Referred by Doctor?
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Referred by?
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Referred by other?
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Describe Nature Of Appointment

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Convenient Locations

Auburn Hills Office

2251 N Squirrel Rd Ste 100
Auburn Hills, MI 48326
Phone : (248) 377-0033
Mon
: 8:00 am - 12:00 pm
Tue
: 1:00 pm - 5:30 pm
Wed
: 9:00 am - 12:45 pm
Thu
: 8:30 am - 12:30 pm
Fri
: 1:00 pm - 5:00 pm

Holly Office

4038 Grange Hall Rd
Holly, MI 48442
Phone : (248) 634-6200
Mon
: 1:00 pm - 6:00 pm
Tue
: 8:00 am - 12:30 pm
Wed
: Closed
Thu
: 1:30 pm - 6:00 pm
Fri
: 9:00 am - 1:00 pm
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