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Are you a new patient wanting to schedule an appointment?FILL OUT THE PATIENT INFORMATION FORM ONLINE

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  • Front Office Hours

    Mon–Fri: 9am-5pm

  • Electronic Forms

    For New & Current Patients

  • Online Bill Payment Available

    Call the office for details

  • HOME
  • CLINICAL SERVICES
  • OUR STAFF
    • JOIN OUR TEAM
  • INSURANCE
  • FAQ
  • CONTACT US
FAX #: (248) 528-9005
FAX #: (248) 528-9005
(248) 528-9000
(248) 528-9000

Are you a new patient wanting to schedule an appointment?

CLICK HERE

  • HOME
  • CLINICAL SERVICES
  • OUR STAFF
    • JOIN OUR TEAM
  • INSURANCE
  • FAQ
  • CONTACT US

Front Office Hours
Mon–Fri: 9am-5pm

Electronic Forms
For New & Current Patients

Online Bill Payment
Call the Office for Details

Online Formsadmin2023-10-10T14:41:18+00:00

ELECTRONIC FORMS

Click on the link(s) below to complete the required forms

  • New Patient – Intake Form

  • Established Patient: New Year Packet
  • License Upload
  • Insurance Card(s) Upload
  • Telepsychiatry Consent
  • General Documents – Drop Box
  • Medication Consent – Adult

  • Medication Consent – Child/Adolescent

  • Controlled Substance Contract
  • Release of Information Form
  • Telecommunication Waiver Form
  • Employment Application

General Office

248-528-9000

General Office

248-528-9000

After Hours

248-764-8440

For urgent, not emergent issues – proceed to the nearest local emergency room for emergent issues

After Hours

248-764-8440

For urgent, not emergent issues – proceed to the nearest local emergency room for emergent issues

Suicide and Crisis Lifeline

DIAL 988

Available 24 hrs

Suicide and Crisis Lifeline

DIAL 988

Available 24 hrs

Fax Us

248-528-9005

Fax Us

248-528-9005

Behavioral Medical Center 1639 E Big Beaver Rd Suite #201, Troy, MI 48083. GET DIRECTIONS

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