New Patients

If you are interested in becoming a new patient, please follow these steps:

1. Call us at 989-790-5990. My staff will call you back to obtain further information about your concerns and make sure my office can serve your needs.

2. Once the intake process is complete and an appointment is scheduled please review the forms below. Please make sure to bring forms A, B, C and D and/or E depending upon the age of the patient. Persons below 18 years should use Child & Adolescent intake questionnaire.

JPS Treatment Rules and Expectations

JPS Patient Data Sheet

JPS Office Policy Statement

JPS Intake Form – Child-Adolescent

JPS Intake Form – Adult

JPS Consent to Release and Obtain Protected Health Information

JPS Consent for Treatment

3. Forms A. Office Policy Statement B. Notice of Privacy Practice C. Release of Information Form D. Adult Intake questionnaire E. Child & Adolescent intake questionnaire

4. Please mail the forms to 3215 Hallmark Court Saginaw, MI 48603 or bring the forms pre-filled to save time. It is very important to have these forms completed prior to the first appointment as this will allow for more efficient use of time during your first appointment.

5. Please bring your insurance card/information or method of payment at the time of your appointment.

6. Please arrive at least 10-15 minutes before your scheduled appointment time for any paper work if needed.

7. If you want to cancel your appointment, please call at least 24 hours in advance, so that the cancelled time is utilized for any other person who needs an urgent appointment or is on waiting list.