New Patients

To ensure that your first visit to our office is as convenient and efficient as possible, please print, complete and return the New Patient Information Forms.

The following forms can be downloaded to your computer and printed at home to complete at your leisure. In order for us to provide a complete and comprehensive medical opinion, it is important that we review all your medical information. Please be prepared to provide this information to our office on your first visit.

The New Patient Information Forms you need to complete are:
__ Patient Registration Form
__ History and Physical Form (except patients with BCN insurance please use the next form, BCN Adult Medical History)
__ BCN Adult Medical History (For patients with BlueCare Network insurance only)
__ Authorization of Use and Disclosure
__ Notice of Privacy Practices
__ Form Financial Arrangements and Office Policies

Items to bring to your first office visit
Completed forms
Any and all vaccination records
All medications or list of prescription medications you are taking
Insurance Card
Photo Identification
Your co-pay (if one applies) is due at the time of service.

We look forward to caring for you.

Thank you!


Waterford Family Physicians

Phone: 248-666-9332
Fax: 248-666-0340

Address: 6620 Highland Rd. Suite 101, Waterford, Michigan, 48327

E-mail address: info@waterfordfp.com
Link to Map and Directions

Waterford MI 48327