Patient Registration
Welcome!
Before Proceeding:
Insurance Plans Accepted include but are not limited to: Medicare part B, Tradional Blue Cross Blue Shield, Medicaid (as secondary insurance), and Fidelis. If you have any other plan please verify coverage with your insurance company prior to visit. The patient is responsible for any deductibles, copayments, and non-covered services at the time of visit. Note: We do not accept Health Alliance Plan of Michigan (HAP) or United Healthcare at this time.
Cash visits are available upon request. Please download and return Cash Patient Agreement.
If you are uncertain about your insurance benefits, call our office to verify that we accept your insurance in order to avoid unnecessary charges.
Online Option:
Online: Step 1
Online: Step 2
Upload a legible copy of drivers license here.
Ensure the following areas are fully completed in the Patient Portal: Personal Info, Contact Info, Medications, Allergies, Pharmacies, Medical History, Social History, Insurance Info, Directives, and Additional info shared with practice.
Online: Step 3
Online: Step 4
Alternative Option:
Step 1
Step 2
Download, complete & save & print our New Patient Packet (fillable form).
Click here for Adobe Mobile. Click here for Adobe Desktop/Mac
or
If you would like a New Patient Packet mailed to you, please call 248-607-7246. New Patient Packet's that lack required information will cause delays in scheduling an appointment.
(Patient portal uploadable New Patient Packet coming soon!)
Step 3
New Patient Packets can be returned via fax, uploaded to the Patient Portal, or mailed back.
Patient Portal Upload Instructions:
- Scan New Patient Packet and safe as pdf.
- From Patient Dashboard Menu, Select "Additional Info Shared With Practice".
- Select "+Add Shared Information".
- In the field marked "Label" , type "New Patient Packet"
- Select Document
- Choose your scanned pdf file.
- Click "Submit"
Fax Number: 248-499-1354
Mailing Address: Advance Medical 2888 E. Long Lake Rd Ste 150 Troy MI 48085
(Coming soon: The ability to complete your new patient packet using your computer and upload it directly to the patient portal)