Our Office

Patient Forms

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time you will save significant time at the time of your visit.

Please printout and complete the appropriate forms:

note: The above documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.

Your Appointment

1. Please bring photo identification
2. Bring a copy of your insurance card
3. If you are being referred by another physician, please bring a copy of your referral
4. Any copies of medical testing (e.g. ultrasound results, ER visits or testing done as a result of your referral)
4. Your co-payment is expected at the time of your visit (We accept cash, check, Mastercard and Visa)

Billing & Insurance Information

We accept most insurance coverage, however, it is the responsibility of the patient to verify coverage of services. For insurance holders that require a referral, you must contact your primary physician and inform the referral clerk that you have been referred to Southfield OBGYN. This should be done prior to your first visit. If you have not followed these procedures and would still like to be seen, please understand that you will be responsible for any charges incurred if the referral is denied.

Co-payments are due at the time of your appointment. These payments can be made with cash, check, or by credit card.

Billing questions may be addressed to our business manager.
  • Comprehensive Obstetric Services
  • Annual Gynecological Examinations
  • In-office laboratory testing
  • Minimally Invasive Surgical Procedures
  • Family Planning/Contraception
Our providers take pride in offering comprehensive and compassionate care to women of all ages.
Our providers are highly skilled in many minimally invasive surgical procedures.