Michigan Colon and Rectal Surgery
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Patient Portal

 


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  • Request Appointment: You can request an appointment by clicking External link opens in new tab or windowhere, our office will contact you as soon as possible. You can call our office at 734 722 6300 to make an appointment, if the call goes to voicemail please leave a message. Calling repeatedly will not expedite the process


  • Fill Demographic Information on line: Please clickExternal link opens in new tab or window here 


  • Fill Patient History

     Please click External link opens in new tab or windowhere to fill out patient history form

  • Upload insurance and ID Cards, clickExternal link opens in new tab or window here (only for patient's that need to update  their records in our system).


  • Pay your balance (credit cards only)

  For Dr Deshmukh and Pemmaraju please clickExternal link opens in new tab or windowhere
  For Dr Adeyemo please click External link opens in new tab or windowhere

  • Refill a prescription- Please click External link opens in new tab or windowhere


To send a clinical question with pictures if needed through web portal:

click External link opens in new tab or windowhere


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  • Download Office forms: Please print and fill out Demographic and History forms and bring them to office or email them to micrs3106@gmail.com or mail to office at 3106 S wayne Rd Wayne MI 48184 with Doctor's name

demographics and history.pdf

  • Patient forms available to print (pdf)


Please print pdf from list below as needed

pruritis instructions.pdf
care after anorectal surgery.pdf
colonoscopy prep.pdf
new form-colonoscopy prep.pdf

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Websites that provide useful patient information:

External link opens in new tab or windowAmerican Society of Colon and Rectal Surgery

External link opens in new tab or windowAmerican College of Surgeons

External link opens in new tab or windowNational Institutes of Health

  • External link opens in new tab or windowRequest medical records
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