Preparing for Your Appointment

First-time patients should arrive early in order to complete a patient registration form. Please bring the following items to the appointment:

• Fill out the New Patient Forms (below)
• Bring to the appointment:
  • Patient's insurance card
  • Physician referral forms if required by insurance
  • A list of current prescriptions and/or over-the-counter medications, including dose and frequency
  • Any recent test results
  • Insurance and Payment Information

Michigan Kidney Consultants, P.C., is a provider for Medicare and most major insurance plans. We provide insurance billing. Please be aware that any costs not covered by insurance are your responsibility.

For services that are not covered by insurance, we request payment at the time of your appointment. Your insurance company may also require you to pay a co-payment at the time of your appointment. When necessary, our staff will work closely with patients who require a payment plan.

If you have any questions regarding which insurance plans we accept or any billing concerns, please call us at (248) 290-3111. Questions regarding your coverage and benefits should be directed to your employer or insurance company.

New Patient Forms

New patients need to complete the following forms prior to their first appointment. Using the links below, please complete and save each form below to your computer. Once completed, send us the forms electronically by opening the appropriate box below and attaching each form to the online message. If you'd prefer to complete the forms by hand, please print the forms and bring them with you to your appointment.

• Privacy Practices Acknowledgement
• Patient Information Registration Sheet
• Patient History
• Patient Medication List
• Pharmacy - Medication History Consent

Hospital Affiliations