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Physician Referral

Click on the link below to download the patient referral form to refer patients for medical, regenerative medicine, weight loss, corrective chiropractic or physical therapy, x-rays, small fibber nerve biopsy or other services offered at our clinic or affiliate clinics.

*Please note, our clinics do NOT provide primary care services but do work hand in hand with our patients primary care provider to enable to patient to get the very best health outcomes. We are able to assist patients that do not currently have a primary care provider with finding the very best, local provider that is accepting new patients. We are also happy to assist anyone injured in an auto or work related injury with finding the proper attorney to handle your case for you.

To speak with someone regarding our patient care and collaberation service options please fill out the form below and a representative will get back with you. If you are looking to refer a patient to an affiliated office outside of Michigan, please fill out the form and provide the location information and we will follow up with the referring clinic information.






Please do not submit any Protected Health Information (PHI).