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New Patient Request

Thank you for your interest in becoming a patient at our facility!
To request an initial appointment, please fill out the form below with your contact and insurance information.
We currently accept Blue Cross Blue Shield of Michigan, Blue Care Network  Priority Health, Medicare, other private plans, and
self-pay. 
We do not accept Medicaid
Before your appointment, contact your insurance company to
confirm mental health benefits and in-network coverage for this location.


We appreciate your interest in our services and will respond to your request within 1-2 business days.
All communication, including patient information, will be kept confidential and secure. 

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Thank you! Your message has been sent. Our staff will respond within 1-2 business days.

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