Information & Forms

Here you will find all of our commonly used office documents as well as other general information you may find useful.

How To Reach Eastpointe Internists P.C.

Location

Eastpointe Internists, P.C.
28295 Schoenherr Rd., Suite C
Warren, MI 48088
Phone: 586-573-6669
Fax: 586-573-6667

Our Office Hours

Monday 8:00 am – 5:00 pm
Tuesday 8:00 am – 5:00 pm
Wednesday 9:30 am – 6:00 pm
Thursday 8:30 am – 5:00 pm
Friday 8:30 am – 3:00 pm
Saturday Closed
Sunday Closed

Documents and Information

Office Policies

See our office policies on our office policies page.

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2019 Policy Changes

download our office policy changes recognition form here.

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HIPAA Consent Form

Download our HIPAA consent form here.

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Medical History Form

Download our medical history form here.

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Urgent Care Information

Download our urgent care documentation here.

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Patient-Centered Medical Home

Download our Patient-Centered Medical Home form here.

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Patient Registration Form

Download our Patient Registration form here.

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Our Notice of Privacy

Download our Notice of Privacy Information here.

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aetna
bcbs
cigna
hap
humana
medicade
priorityhealth
totalhealth
unitedhealth

Insurances

At Eastpointe Internists, P.C., we accept most major insurance plans. Please contact our office if you do not see your insurance provider listed or for insurance related questions.

A partial list of supported insurances

Aetna, BCBS, BCN, Cigna, Cofinity, HAP (Health Alliance Plan), Humana, Medicare, Meridian Health Plan, Priority Health, Total Health Care, United Healthcare