Patient Information

Patient Forms

Please bring the following to your appointment:

  • Drivers License
  • Insurance Card (If applicable)
  • For fast Check In, download and fill out the appropriate forms below!

New
Patient Forms 

Patient On Bed — Southfield, MI — Express Med Urgent Care

Insurance Information 

At Express Med Urgent Care we accept most insurance plans. Please check the list to see if we accept yours. If you don’t see your insurance on this list, please call us at (248) 770 5205.

  • AETNA
  • AETNA BETTER HEALTH OF MICHIGAN
  • BEAUMONT EMPLOYEE HEALTH PLAN
  • BLUE CARE NETWORK – BCN
  • BLUE CROSS BLUE SHIELD OF MICHIGAN
  • BLUE CROSS COMPLETE
  • CIGNA – GREAT WEST
  • COFINITY
  • COVENTRY HEALTH
  • DMC HEALTH PLAN(TIER 2)
  • FIRST HEALTH
  • HEALTH ALLIANCE PLAN – HAP
  • HUMANA
  • MERIDIAN HEALTH PLAN
  • MEDICAID – STATE OF MICHIGAN
  • MEDICARE – PART B
  • MCLAREN HEALTH PLAN
  • MIDWEST HEALTH PLAN
  • MULTIPLAN OHS CARE (OAKWOOD EMPLOYEES)
  • PHCS
  • PRIORITY HEALTH
  • RAILROAD
  • MEDICARE
  • ST. JOHN SMART PLAN (BCBSM NETWORK)
  • TOTAL HEALTH CARE (MEDICAID, COMMERCIAL HMO & SELECT)
  • TRICARE
  • UNITED HEALTH CARE
  • UNITED HEALTH CARE COMMUNITY HEALTH PLAN
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