Michigan Head & Neck Institute understands that our patients want to have their office visit be as smooth as possible. To help this process, we have provided our patient forms online for you to download and complete before your visit.

Please complete the forms below, and simply bring them to your first appointment with you as they will assist in a proper diagnosis. Filling them out ahead of time will speed up the paperwork process on the day of your visit. Please print clearly.

IF YOU DO NOT HAVE THE PAPERWORK FILLED OUT PRIOR TO YOUR APPOINTMENT, PLEASE ARRIVE 30 MINUTES EARLY TO ALLOW TIME TO COMPLETE THE FORMS, OTHERWISE YOU MAY BE ASKED TO RESCHEDULE YOUR APPOINTMENT.

All patients are required to complete our New Patient Information Form (Click Here to Download).

If your treatment is related to an accident and/or injury – you will need to complete our Accident Addendum Form (Click Here to Download) IN ADDITION TO our Patient Information Form.

Note: You will need Adobe Acrobat Reader to view these forms. Click here to download a free version of Acrobat Reader.