Your medical home
At Family Tree Medical we go beyond traditional healthcare by providing an ongoing commitment to take care and medical innovation to the next level.
That is why we are one of the first practices in Western Michigan to implement a patient centered medical home, revolutionizing our practice. This transformation has helped us to become not just your family doctor, but your medical home. We ensure a continuous relationship to provide care for your health, wellness, and spiritual needs.
If you are a new patient, please download the following forms. We ask that you please complete them and bring them to your first appointment, at least 15 minutes before your scheduled time. This will help to save us time in registering you as a new patient with our family!
New Patient Form
Please complete ONE per family member.Patient Provider Relationship
The health of our patients is a top concern of Family Tree Medical. The only way we can meet this goal is to work together.Medical Release
Consent to release medical information. Please complete ONE per family member.Our Practice Model
We believe in a Patient Centered Medical Home. We will always work with you one on one for your health and wellness needs.Financial Responsibility Policy
We are committed to helping you maximize your health benefits and understanding your financial responsibility. HIPPA Authorization Form
Authorization for Use or Disclosure of Protected Health Information. Please complete ONE per family member.Your first appointment
Remember to please arrive early so we can complete your initial paperwork. In addition, please remember to bring the following: Current Insurance Card, list of current prescriptions and over the counter medication, your medical and surgical history, recent test results and revelant records, preferred pharmacy name, phone number, and location.
Appointments and cancellations
We pride ourselves in making every effort to accommodate same day appointments. Please call no less than 24 hours in advance of any appointment that you cannot keep, so we can make that time available for other patients. Any cancellations with less than a 24 hour notice will be charged a $50.00 fee. In addition, this same fee will apply to the second and additional cancellations.
Insurance Partners
We are committed to helping you
maximize your health benefits. That is why we accept all major HMO and PPO insurances, Health Savings Accounts, Medicare, and self pay patients. In addition, we will bill your insurance company directly for all rendered services so you do not have to hassle with the complexities of claim forms. This includes workman's compensation and motor vehicle accident claims.
For insurance questions, please feel free to contact our Billing Department directly at (269) 945-7497.
* Please note that not all insurance carriers we accept are listed above due to the ever-changing health insurance field. Please call if you have questions about your specific carrier and we will be glad to assist!
Take a Tour
We welcome you to take a tour of our office
and see why you should choose Family Tree Medical as your medical home.
