File Library Search Results
Balanced Scorecard
Chronic Nonspecific Diarrhea/High Fiber Diet
Hypercholesterolemia Nutrition Therapy
High Cholesterol DietEducation
3-Hour Glucose Tolerance Test Diet
Gestational diabetes overview, what is a glucose tolerance test and the pre-test diet.Buffered Hypertonic Saline - (Nasal Rinse)
Instructions on how to prepare and use a nasal saline rinse - (Buffered Hypertonic Saline).
Concussion signs and symptoms.
Diabetes FAQ's - Endocrine Kids
Explanation of how to dress properly for a marathon in late October in Michigan.
Eosinophilic Esophagitis information supplied by the AGA-American Gastroenterological Association, 22 page document, pdf file.
Have you wondered what First Line Therapy is? Discover why this diet and lifestyle change is different.
Learn how to achieve proper hydration during a marathon. Being overhydrated is as harmful as being dehydrated. Includes signs and symptoms of both.
Signs and symptoms of hypothermia.
Medications for Pregnant and Nursing Mothers
List of medications appropriate for pregnant and nursing mothers. If you are taking medications other than those listed, please inform your physician(s).If someone in your house has pet allergies, here are some options for pets you may wish to consider.
Reflux Esophagitis Information
Treatment to combat reflux esophagitis.
SJ Bariatric -- 2008 Lap Band Presentation Schedule
2008 Presentation Lap-Band Schedule
Successful Treatment of Chronic Urticaria
What Are Minimally Invasive Vascular Surgeries?
What is Carotid Artery Disease (CAD)?
What is Chronic Venous Insufficiency(CVI)?
What is Peripheral Arterial Disease?
What is Venous Thromboembolism?
General
Curriculum Vitae - Dr. Jackson
Curriculum Vitae of Dr. Ian Jackson of the Craniofacial Institute.
Dr. Awada Receives AAFP Degree
News release commending Dr. Awada for achieving the Degree of Fellow of the American Academy of Family Physicians (AAFP). This honor is only awarded to physicians who have been an organization member for at least six years, obtained extensive continuing medical education, participated in public service programs, conducted original research and served as a teacher in family medicine.
In October 2007, Dr. Oppat, a civilian vascular surgeon, volunteered to treat American troops overseas at the American Military Hospital in Germany.
Endocrine Disorders and Services - Endocrine Kids
Dr. Jacalyn Bishop specializes in pediatric medicine with a focus on pediatric diabetes and endocrine problems.
2006-2007 Milford Community Activities that Providence Family and Athletic Medicine has participated in.
Mindful Medicine Personal Stories
You are welcome to join us for our open house and grand re-opening of Oakland Family Medical Center, Thursday, November 2nd.
Our Team - Michigan Breast Specialists
We, at Michigan Breast Specialists, are pleased to introduce our team of medical experts and knowledgeable staff.
Click here to access our forms, including Patient Registration Form and Review of Breast Symptoms form.
Phone Call Guidelines - Endocrine Kids
Summary of published research by Dr. V. Tolia in the field of pediatric gastroenterology.
Images
Image Library
Letters
The following are letters to patients from our practice and/or letters for physicians, dentists or others.
Dental Letter for Obstetric Patients
Print letter and take to your dental appointments during pregnancy.Masonic Medical Welcomes Dr. Veena Panthangi
Introducing Dr. Jerrie Refuerzo, the newest member of our physician staff.
New Patient Introduction Letter
Introduction letter to new patient, relays office hours, office policies for cancelling or rescheduling appointments, referral authorization forms, precription refills and procedure if you have films to bring to your appointment.
Join the St. John Hospital Department of Obstetrics and Gynecology in welcoming their new generalist, Dr. Nathan Wagstaff.
Welcome Dr. Sarah Petrovich to Midwest Family
Welcome Dr. Zolkos to Midwest Family
Welcome a new physician to Midwest Family Medicine.
Newsletters
Newsletters from various departments within St. John Health hospitals for a patient audience.
Patient Brochures
About Allergy, Asthma and Symptoms
Information about allergies, asthma and eczema, and also breaking down information into subgroups of Nose, Sinuses and Ears, Indoor Allergens, Pet Allergies, Mold Allergies, Chronic Cough, Asthma, and Triggers. (PDF file)
About our Practice and New Patient Information
Learn about our staff and office policies and procedures. (PDF file)
Read up on Exercise Induced Asthma (EIA), Pregnancy and Asthma and/or Allergies, Insect Sting or Bite Allergies. Do you need allergy shots, here is an explanation of venom injections for things such as bee stings. Also learn about symptoms of food allergies, hives (urticaria), eczema. What is causing your headache? Should you see a doctor for it? Find out if allergy injections(for inhalant allergies)are for you. Included is a brief overview of many of the asthma or allergy medications your doctor could prescribe and why. (PDF file).
Assess your body composition or the measurement of body fat in relation to lean body mass. BIA aids in early detection of improper balance in your body composition and allows for earlier intervention and prevention of serious health conditions.
celiac nutrition therapy diet
Constipation Nutrition Therapy
high fiber, constipation nutrtion therapy
Craniofacial Clinic (PDF file)
Craniofacial and cleft palate diagnostic clinic brochure, includes description of staff and specialists available for diagnosis and treatment(PDF file).
Craniofacial Clinic (text file)
Craniofacial and cleft palate diagnostic clinic brochure, includes description of staff and specialists available for diagnosis and treatment (text file).
DIEP Flap Microsurgery - Dr. Studinger
Dr. Studinger's brochure on the benefits and advantages of microsurgical breast reconstruction using the DIEP flap method.
For good health, high energy, mental clarity, full function and absence of disease well into old age, learn about the FirstLine Therapy program. Adopting habits of living that are healthy can delay the onset of illness in old age. Eating balanced meals, exercising regularly, reducing stress and taking the appropriate nutritional supplements. Sounds easy? Find out more.
Gastroesophageal Reflux Disease Nutrition Therapy
GERD diet
Want to quit smoking? Here are some methods to use. (PDF file)
The health benefits of quitting smoking and how you can quit. Pamphlet provided by ACOG - the American College of Obstetricians and Gynecologists.
Lactose Intolerance Nutrition Therapy
Lactose Intolerance
Low Fiber, Low Residue Nutrition Therapy
Low Fiber Low Residue Nutrition Therapy
Mirage Swift™ Nasal Pillows System
Mirage® Full Face Mask Series 2
List of resources used for information given. (PDF file)
Treatments, Medications and Monitoring
There are long-term treatments for management of asthma triggers and long-term control medications. Learn what spyrometry monitoring is and review the differences in the 5 levels of asthma, including mild intermittent, mild persistent, moderate asthma, severe asthma, and acute asthma. (PDF file)
Ulcerative Colitis and Crohns Disease Nutrition Therapy
Valuable information about the "silent disease" of osteoporosis (PDF file).
Underweight weight gaining high calorie diet
Weight Loss or Maintenance Tips
wt loss maintenance nutrition therapy diet tips
Patient Forms
Acknowledgement of Privacy Practices Notice
Form requiring patient's signature to acknowledge receiving or reading our Privacy Practices Notice.
Acknowledgment of Privacy Notice
Acknowledgment of Receipt of Notice of Privacy Practices
Adult New Patient Registration
Fill out and return the adult new patient registration form.
All forms for Dr. Tolia in PDF file.
All forms are available in PDF format to print.
This file contains all six (6) of our forms. This file is 4MB in size. Forms included: Privacy Practices Notice, Acknowledgement of Privacy Notice, Consent Form, Medical Records Release, Adult New Patient Registration Form and Minor New Patient Registration Form.
Authorization for Medical Treatment (Word format)
Center for Sleep Disorders pre-arrival guide and patient information
This is a consent form for your procedure form.
Health system consent for treatment form.
Consent to Treatment HIPAA Form - Cornerstone Allergy & Asthma
If you need to contact a HIPAA officer, this form has the contact information.
Cornerstone Medical Plan contract
Endocrine Kids - Patient Registration Form
Use our patient information form. Please print, complete and return to the office at your appointment or you may fax in.
Endocrine Kids - Release of Information Authorization
Release of Information Authorization form can be printed and completed prior to your visit. Bring in or fax.
Print, complete and return this general information sheet for our records.
Print this form to record your 5 daily glucose readings, including the date, comments and dosages. By monitoring your sugar (glucose) levels, you are helping your physician keep diabetes under control. REMEMBER to bring your glucose reading log sheets to your doctor appointments.
Print this form to record your 5 daily glucose readings, including the date, comments and dosages. By monitoring your sugar (glucose) levels, you are helping your physician keep diabetes under control. REMEMBER to bring your glucose reading log sheets to your doctor appointments.
HIPAA Outpatient Treatment Consent
Read the HIPAA Privacy Act. You may also print, sign and return to office.
HIPAA Privacy Practice - Endocrine Kids
Informed Consent for Sclerotherapy
This is an informed consent form for your sclerotherapy procedure.
Insurance Registration Form - Cornerstone
Kestenberg Surgical - Discharge Instructions
Kestenberg Surgical - Patient History Form
Print, complete and return to the office.
Kestenberg Surgical - Surgery Prep
Surgery Preparation Instructions.
Macomb Imaging Center patient preparation instructions
Macomb Imaging Center patient preparation instructions.Macomb Sleep Institute - Patient Questionnaire
New patients to the Macomb Sleep Institute may print and complete this form and bring to your first appointment.
Print, complete and bring this medical history form to the office at your scheduled appointment.
Print, complete and return the medical record release form. This allows us to obtain your medical records from the physician or hospital you specify.
Print, sign and return to this medical release form to our office.
Midwest Family Medicine - All Forms
Minor New Patient Registration Form
New patient registration form for minors, to be filled out and returned at or before your first appointment.
New patient information form to print, fill out and bring to your first appointment.
New Patient History and Physical Form
Here is our Patient History and Physical form. You may print, complete and bring to your scheduled appointment.
New Patient Letter - Joslin_Tolia
Welcome and directions.
New Patient Letter - Joslin_Tolia
Welcome letter with directions.
New Patient Medical History Form
Print this 2-page medical history form and bring to your appointment. This will save you time in the office filling out your paperwork.
Notice of Financial Responsibility
Print and fill out this form. Bring to the office at your appointment.
Print out this form. Bring completed form to your next appointment.
Print and complete this 4-page patient history form and bring to your scheduled appointment.
Patient History * Review of Systems Form - Cornerstone Allergy & Asthma
Cornerstone Allergy & Asthma patients may use this new patient history and review of systems form and bring to your scheduled office visit.
Print, fill out and bring this patient information form to the office the day of your appointment.
Print this patient information form. Fill out and bring to your appointment. Please have a scheduled appointment prior to sending your forms to the office.
Print this patient information form. Fill out and bring to your appointment.
For our new patients, you may print and complete this form and bring it to your scheduled appointment.
Patient Information Sheet - Joslin Center - Tolia
Patient intake information form.
Patient Information Sheet - Joslin Center - Tolia
Patient intake information form.
Patient Medical History - Joslin - Tolia
Patient Medical History - Joslin - Tolia
Patient Medical History - St. Clair Surgical
Patient Preparation Sheet for Diagnostic Testing
Diagnostic test instruction sheet with preparation patients are to follow prior to test.
Patient Registration (PDF file)
Print and complete registration form. Bring to your initial scheduled appointment.
Print, complete and bring this patient registration form to your scheduled appointment.
Podiatry Patient Medical History
Please print and complete this medical history form and bring with you to your scheduled appointment.
Podiatry Patient Registration Form
Fill out this patient registration form and bring to your scheduled appointment.
Print and bring completed for to your next appointment or fax to our office.
Print and bring completed form to your first appointment or fax to office.
Print and bring completed form to your first apppointment or fax to our office.
Providence Patient Information Sheet
Print, complete and return to office at your first appointment or fax.
Providence Patient Information Sheet
Providence Patient Information Sheet in PDF format. Print and bring completed form to your scheduled appointment.
Providence Patient Information Sheet
Print and complete the patient information form and bring to your scheduled appointment.
Providence Privacy Practices Form 2008
Providence Privacy Practices Form 2008
VCF Eligibility Parent Worksheet
Vaccination for Children eligibility form.
This 4-page questionnaire aids in the proper diagnosis and treatment of your veins.
Vaccination form for patient's under age 18.
Patient Letter Templates
Patient Procedure Information Packet and Forms
Accepted Insurances List - Tolia Peds
Chorionic Villus Sampling Test Preparation
Pre-test guidelines and information to bring to appointment.Chorionic Villus Sampling Test Preparation
Pre-test guidelines and information to bring.Diabetic Obsetrical Patient Letter (Gestational Diabetes)
Follow the guidelines in this letter as to when to check your glucose (blood sugar) levels and where to report them. Use the Glucose Reading Log Sheet(available below under Patient Forms) to record your daily levels.Diabetic Obsetrical Patient Letter (Gestational Diabetes)
Follow the guidelines in this letter as to when to check your glucose (blood sugar) levels and where to report them. Use the Glucose Reading Log Sheet to record your daily levels.Genetic Amniocentesis Instruction Sheet
Review this patient instruction sheet for Genetic Amniocentesis testing.Genetic Amniocentesis Instruction Sheet
Review this instruction sheet for Genetic Amniocentesis testing. As an expectant mother, always be certain to report any unusual symptoms to your doctor. For the health of your baby, please continue your prenatal care.Print this form to record your 5 daily glucose readings, including the date, comments and dosages. By monitoring your sugar (glucose) levels, you are helping your physician keep diabetes under control. REMEMBER to bring your glucose reading log sheets to your doctor appointments.
Print and fill out this Informed Consent release. Bring to the office at your appointment OR you may fax it to us, too. Please schedule your appointment prior to sending any forms.
Print and fill out this Informed Consent release. Bring to the office at your appointment OR you may fax it to us, too. Please have your appointment scheduled before sending in any forms.
Initial Comprehensive History Form
Lab Charges for Self-Pay Patients
This is a list of expected laboratory charges for the self-pay patient. Prices may vary at different labs. Please inquire about current fees.Lab Charges for Self-Pay Patients
This is a list of expected laboratory charges for the self-pay patient. Prices may vary at different labs. Please inquire about current fees.Office processes and procedures
Print this patient information form. Fill out and bring to your appointment. Please have a scheduled appointment prior to sending your forms to the office.
Print this patient information form. Fill out and bring to your appointment.
Prenatal Genetics Questionnaire
Print and fill out the genetics history questionnaire. You fax or bring this form to the office. Please have your appointment scheduled prior to sending your forms to the office.Prenatal Genetics Questionnaire
Print and fill out the genetics history questionnaire. You fax or bring this form to the office. Please have your appointment scheduled before sending in forms.Registration Form - Tolia Peds
Release of Authorization Form - Tolia GI Pediatrics
Ultrasound Procedure Information
Office instructions for your ultrasound appointment, includes a list of items to bring to your appointment and a list of information you should review and/or print out prior to your appointment. (Some material may not be accessed from our website.)Ultrasound Procedure Information
Office instructions for your ultrasound appointment, includes a list of items to bring to your appointment and a list of information you should review and/or print out prior to your appointment. (Some material may not be accessed from our website.)Welcome Letter to Tolia Pediatrics
Video
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28000 Dequindre | Warren, MI 48092
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