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Patient Info

Patient Info

Welcome to the patient information section of our website. We have collected several resources here that you may find useful. PRISM Medical Group is proud to be a Patient-Centered Medical Home and we provide this service to all our patients as part of our mission of providing quality care. We also have up-to-date information on insurance and billing questions, as well as links to the required forms for new patients.

Patient Forms

All new patients are asked to complete registration and history forms prior to their first visit.

All patients
Registration Form

Medicare patients

Advance Directive
Medicare Questionnaire

Family Medicine patients only

Adult History Form
Child History Form
Rochester Hills Child Delegation Form
Bloomfield Child Delegation Form
Record Release (to our office)
Record Release (from our office)

Internal Medicine/Pediatrics patients only

Child Delegation Form

PCMH

The Patient-Centered Medical Home (PCMH) is an approach to providing comprehensive care for children and adults, in a health care setting that facilitates partnerships between patients and their primary care physicians.

Insurance & Billing

We accept most major insurance plans.  Please remember, it is impossible for PRISM Medical Group to know every insurance plan.  We do our best to know what plans are accepted but ultimately it is up to the patient to know their insurance.  Click Learn More for more information.

Medical Links

The amount of “health” information available via the internet is overwhelming and some of it can be less than reliable. Our medical links section contains valuable information from quality sources. Click “Learn More” below to see our Medical Links section.

NEED AN APPOINTMENT?

Simply fill out a quick form and one of our helpful staff will contact you to schedule an appointment.