We are truly honored to be involved in your patient's care. Our goal is to provide excellent treatment for your patients while working closely with you.

If you would like, you may refer a patient by filling out our secure ONLINE PATIENT REFERRAL FORM (you will need at least version 9.0 of Adobe Acrobat Reader to use this form; please see links below). After you have completed the form, please press the "Submit Form" button at the bottom to automatically send us your information. If you prefer, you may print out the form and either fax it to us at (734) 975-2880 or mail it to our office.

Digital x-rays can be submitted electronically as you submit your patient's referral form. We are also happy to receive hard copies of radiographs either by mail or, in cases of urgency, we can pick them up from your office.

PC Users
Our online form uses the latest version of Adobe Acrobat Reader to conveniently submit the form from home or work. Please download the free plug-in from Adobe's web site if it is not already installed on your system. It is important that you have at least version 9.0 of the plug-in to successfully use our Online Patient Referral Form.

Mac Users
Please open and submit the form in a Safari Browser with the your Mac operating system. It is important to have the latest version of Adobe Acrobat Reader on your computer in order to submit your form to our office. Please download the free plug-in from Adobe's web site if it is not already installed on your system. It is important that you have at least version 9.0 of the plug-in to successfully use our Online Patient Referral Form.