We see patients by appointment. This allows us to give you our undivided attention. Children must be accompanied by a custodial parent or legal guardian on all visits. If you cannot keep your appointment, please call and cancel at least 24 hours in advance. This may allow us to bring in a patient for whom no early appointment times are otherwise available.

On your first visit with us, we will take your personal information and prepare your chart. We will then take you to an examination room, take your medical history, perform an examination, and make recommendations. If necessary, we will schedule further testing .

We answer the telephone Monday to Friday, 8 am to 5 pm. During office hours, a staff member answers telephoned questions. For the doctor to leave a patient and take the phone call would obviously be unfair to the patient. If necessary, the doctor reviews your message and chart. The office staff then gets back to you. If you have to speak to the doctor, the doctor will call you back within 24 hours, and there will be a charge for this phone office visit. After office hours, a voice mail system takes messages. For emergencies after office hours, call the emergency number at (248)879-0707, select 5, then follow instructions. We will call in prescriptions over the phone only in emergencies, and usually only for a week.

Good medicine demands that the physician watch the patient closely for benefits as well as side effects. We usually see our patients one week after testing to discuss results. After starting treatment, we see patients in about two weeks, and then every two to four weeks till stabilization of treatment. When the disorder is well controlled, long-term follow-up may be by the physician or nurse practitioner/physician assistant. These visits are monthly or quarterly for Class II controlled medicines, quarterly for brain-active medicines, annually for other medicines and CPAP. If you are doing well, we do an expanded problem-focused visit. If you are having problems, need a medicine change, or you have not been seen in a while, we do a detailed visit with a higher charge. If you have not been seen in three years, you are considered a new patient again.