We are currently welcoming new patients.


For your convenience - below you will find new patient forms.

Please download both New Patient Information Sheets (A and B). They are provided in both word and pdf forms.

The PDF forms can be filled out electronically - you can use the usual Adobe Acrobat Reader DC, available as a free download at get.adobe.com/reader.  You can then save them on your computer and email the completed forms using the contact information below. 

And, you can also download the Word version of the forms, make your changes, then scan and email back to the address shown below.

Faxed forms are also acceptable, or you can print and bring a copy to the office. Don’t worry, we have extras if you forget them. 

Email forms to: appointments@northwestdermgroup.com
Fax forms to: 888-368-7898


Your First Visit

On the day you arrive at our office, we will ask you for a copy of your driver’s license and insurance card, as well as a referral from your primary care doctor, if needed. In addition, we will ask you to fill out patient information forms. For your convenience, you may download these forms through the website and complete these prior to your visit.

Interested in becoming a new patient?


Simply call us at (248) 353-0880 and have your insurance card ready, along with the name of your primary care physician. We participate with most major health plans. Please contact us to verify that we are a participating provider. Please remember that many cosmetic treatments (such as chemical peels, microdermabrasion and laser) are not covered by insurance. 

Insurance Plans We Accept




Aetna
Alliance Health (HAP)
Blue Care Network
Medicare
Blue Cross Blue Shield of Michigan Blue Cross Blue Shield complete Cofinity
DMC care


HAP
Medicare plus blue
PHCS Priority Health
Health Plus
Smart Health (St. John Smart plan)
United Healthcare Beaumont
Employee Health Plan


OTHER FORMS OF PAYMENT: Cash, Check, Credit Card