Visit our Patient Portal:

ATTENTION: As of October 16 2017, our Lansing office location has moved! The new address is:
1540 Lake Lansing Road Suite 205, Lansing, MI 48912

Rochester (248) 651-6430

Lapeer (810) 667-3111

Washington (586) 207-1247

Lansing (517) 853-5550

     Est. 1987

Sleep Evaluation

Patient Registration

New patient registration forms are located below and can be filled out prior to your initial appointment.

​Along with the New Patient Registration paperwork, new patients to the office are to bring in their driver's license/photo ID, insurance cards, and a list of medications they take including the name, strength, and how often they are taken.

You are responsible for knowing If your insurance requires a referral. If so, you are also responsible for contacting your primary care physician to obtain that referral.

Please read over our instructions to see how to properly complete the new patient paperwork. If you have any questions, please give us a call at any of our locations.

New Patient Registration Forms

HIPAA Notice of Privacy

Individual Forms

Patient Information

Patient Health History/Assessment Form

Medication Profile

Medical Release Form

For patients being seen for sleep evaluation, please print and fill out an Epworth Sleepiness Scale evaluation prior to your visit and bring it in along with your New Patient Registration forms.​