Patient Forms
Auto Accident
Used to collect information about a patient’s motor vehicle accident and insurance details for medical evaluation and billing.
Health History
Captures a patient’s past and current medical conditions, medications, allergies, and lifestyle information to guide care.
Medical Records Release
Authorizes the transfer or sharing of a patient’s medical records between healthcare providers or facilities.
MPG Financial Policy
Explains the clinic’s billing, payment, and insurance policies that patients must acknowledge before receiving care.
Patient Consent Form
Grants permission for evaluation, treatment, and communication of health information as required for care.
Patient Demographics
Collects basic identifying information such as name, address, contact details, and insurance coverage.
Privacy Practices and Authorization
Outlines how personal health information is used and shared in compliance with HIPAA regulations.
Patient Provider Agreement Gastroenterology
Macomb Physicians Group is a medical group practice located in Sterling Heights, MI that specializes in Internal Medicine and Family Medicine.
Patient Provider Agreement-Neurology
Details the terms of neurological care, outlining both patient and provider responsibilities.
Patient Provider Agreement-OB GYN
Explains the care relationship and policies for obstetric and gynecologic services.
Patient Provider Agreement-Primary Care
Establishes mutual expectations for ongoing primary care management and communication.
Physical Form
Documents examination results and health clearance for employment, school, or sports participation.
Workers Comp
Records details about a workplace injury and employer insurance to coordinate medical treatment and claims.