FacebookThis field is for validation purposes and should be left unchanged.Patient Name*Your Name*Email* Primary Phone*Alternative PhonePreferred Location*Clinton TownshipWest BloomfieldPreferred Healthcare ProviderFirst Available PhysicianDr. Prasad John ThottamDr. Michael HaupertDr. Colin BohrDr. Kathryn DeedsDr. Jay SzekelyLindsay RuwartAbigail AlgierPreferred Appointment Time(s)*...7 AM to 12 PM12 PM to 3 PMPreferred Days* Mon Tues Wed Thurs Fri Alternate Appointment Times*...7 AM to 12 PM12 PM to 3 PMAlternate Days* Mon Tues Wed Thurs Fri Which is more important?* Date / Time Location Provider Reason for Appointment* Routine Follow-up Post-Operative Visit New Patient Other Name of Insurance CarrierReason for Visit Δ
