Welcome to Cosmetic Surgeons of Michigan, PC!

Thank you for entrusting us with your care.

For your first visit to our office, we request you bring with you the following information.  Please arrive 10-15 minutes prior to your appointment time to allow for paperwork.  If you wish to fill out the patient registration and health history forms in advance, a packet can be mailed or e-mailed to you upon request.

    • Payment and/or co-pay for your visit.  We accept cash, check, credit card (Visa, MasterCard, Discover, and American Express) or CareCredit.

      Please visit the above link to learn more about CareCredit balance financing or apply online.

    • A list of all current medications you are taking.
    • Name and phone number of your primary care physician.
    • Insurance information (where applicable)
        Your insurance card or contract ID and group number.

 

        Name of your insurance carrier and claims address.

 

        Phone number for your insurance carrier.

 

      Name of subscriber (employee) with social security number and date of birth.

There is a $75 consultation fee for Cosmetic Consultations that will be deducted from your procedure if you choose to have surgery. New patient consults that are not cosmetic will be billed to patients’ insurance.

Please contact our office via email or phone if you have any questions.

586.773.6900      office@csom.net

Please visit the Insurance Facts page for information regarding insurance.

 

Click here to print a copy of our New Patient Registration Form