Before your first doctor visit, please completely fill out the patient history and information forms.
In order to download these forms you must have Adobe Acrobat® if you do not have this software you can download from click here.
Please bring the following items to your doctor appointment: (Plan at least one week to obtain these)
To schedule an appointment, please call either of the offices directly:
Regional Specialty Center
Huron Valley - Sinai Hospital
PH: 248.937.4947
Hours: Mon-Fri 8am-5pm
Hartland Millennium Center
PH: 810.991.3300
Hours: Mon-Fri 8am-5pm
If you have a medical emergency, you should go directly to a hospital or call 911 for assistance.
If you would like to request a prescription refill, please call the office you visit: Regional Specialty Center/Commerce 248.937.4947 or Hartland Millennium Center 810.991.3300.
A medical assistant is available during office hours to answer your medical questions. Call either office to speak with the medical assistant: Regional Specialty Center/Commerce 248.937.4947 or Hartland Millennium Center 810.991.3300. If you have a medical emergency, you should go directly to a hospital or call 911 for assistance.
Depending on your insurance coverage, you may be asked to make a payment at the time of your office visit. If your insurance does not provide visit coverage or has a co-pay, we ask that you please plan to pay the charge at the time of your visit. For your convenience, we accept cash, personal checks, Visa and MasterCard.
Our practice accepts the following insurance plans:
| Traditional | PPO | HMO |
| Aetna Auto Blue Cross Blue Shield CCN Cigna First Health Health Alliance Plan M Care Medicaid Medicare Medicare Railroad Tri Care United Health Care Workers Compensation |
Aetna Beechstreet Blue Cross Blue Shield Blue Preferred Plus CAPP Care PPO CCN Chandler Group Cigna Direct Care America DMC Health Alliance Plan Health Care Compare Humana M Care National Provider Network One Health Plan PHCS PPOM Preferred Choices Primary Health Services Tri Care United Healthcare |
Aetna BCN Care Choices Cigna Multi Plan Omni Care Tri Care |
** Subscribers should always check with individuals insurance carrier to verify participation and coverage.
We are affiliated with the following hospitals:
This is a description of how your health information may be used and disclosed, and how you can access this information. Please read this notice in its entirety.
Commitment to your privacy In the course of your treatment, we will compile information in our records pertaining to you. Federal and State law mandate that we maintain your privacy with regard to your health information and any information we have concerning you in our records. We must follow the privacy practices we have established as described in this Notice. We reserve the right to amend this Notice of Privacy Practices as we find necessary. This revision will apply to any records compiled by our practice with regard to you and your health care. This includes any records that were created prior to the effective date of this Notice. Any changes that are made to this Notice of Privacy Practices will be made available to you upon request. We reserve the right to disclose your health information in the following ways:
Your file and Copies
You have the right to look at and get copies of your file with limited restrictions. If you
request to look at your files, you must request it in writing. If you would like copies of
your records, there is a $25.00 fee for photocopies and staff time. These records cannot
be faxed to you or any other healthcare facility.
Confidential Communications
You have the right to request that SOS communicate with you in private about your
health related issues.
Restriction Requests
You have the right to request a restriction of our use of your healthcare information. If
you would like to request a restriction, you must do so in writing. Your request must
be specific in nature, and describe the information you want restricted as well as the
limits that apply. We are not required to agree with your request.
Amendment
You may request an amendment to your healthcare information if you believe it
to be incorrect or incomplete. If you request an amendment, it must be done in
writing. You must list the reason(s) which support your request. Any requests
submitted without a valid reason will be denied. Opinion is not a valid reason.
If you have any questions or concerns, please contact:
Privacy Officer
248-937-4947 phone
248-937-5150 fax