Patient Information

New Patient Forms

New patients need to complete the following two forms. Using the links below, you can download and print the forms. Please complete them and bring them to the first appointment.

What to Bring to the Appointment

First-time patients should arrive early in order to complete a patient registration form. Please bring the following items to the appointment:

  • Patient's insurance card
  • Physician referral forms if required by insurance
  • A list of current prescriptions and/or over-the-counter medications, including dose and frequency
  • Any recent test results
  • Insurance and Payment Information

Michigan Kidney Consultants, P.C., is a provider for Medicare and most major insurance plans. We provide insurance billing. Please be aware that any costs not covered by insurance are your responsibility.

For services that are not covered by insurance, we request payment at the time of your appointment. Your insurance company may also require you to pay a co-payment at the time of your appointment. When necessary, our staff will work closely with patients who require a payment plan.

If you have any questions regarding which insurance plans we accept or any billing concerns, please call us at (248) 290-3111. Questions regarding your coverage and benefits should be directed to your employer or insurance company.

Hospital Affiliations