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Wayne State University Physical Medicine in Southfield Oakwood

Below are the forms you will need for your visit. Please print all five forms and bring them to your appointment. To view the documents, Adobe Acrobat Reader is required.
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Acknowedgment of Receipt of Notice of Privacy Practices Form (Download PDF) 

Financial Policy (Download PDF)  

General Consent Form (Download PDF)  

Notice of Privacy Practices Form (Download PDF)  

Patient Registration Form (Download PDF)  

 

WSUPG PM&R and Therapy Services - Oakwood
26400  W. 12 Mile Rd. Ste. 20
Southfield, MI 48076 Telephone: (248) 465-0100