• Welcome
  • Integrative Medicine
    • Acupuncture
    • Osteopathy
    • Low-Level Laser Therapy
  • Our Practitioners
  • FAQS
  • New Patient Forms
  • Contact Us
  • Patient Education
  • Telemedicine Appointments
  • Covid 19
Integrative Healthcare Providers
  • Welcome
  • Integrative Medicine
    • Acupuncture
    • Osteopathy
    • Low-Level Laser Therapy
  • Our Practitioners
  • FAQS
  • New Patient Forms
  • Contact Us
  • Patient Education
  • Telemedicine Appointments
  • Covid 19

New Patient Forms

This page is for new patients who have been accepted into the practice. 
If you are looking for information on how to become a new patient, please see our FAQS page.

We respect you as a patient and invite you to read our
"Notice of Privacy Practices".  
 



Depending on your physician, there are several ways to complete your paperwork.  
For Dr. Saunders, Dr. Picken, and Dr. Parke and Brenna Reichmann:

Please complete the paperwork below prior to your visit and email it to us along with a front and back photo of your drivers license and insurance card prior to your appointment. The most secure email address to send it to is:  ihcpaa@protonmail.com  You can also text the photo to 734-547-3990.

For Dr. Kaufman and Dr. Zager, when you receive your appointment reminder, there will be an option to fill out the paperwork online through our portal, Patient Fusion.  Please fill out the paperwork online prior to your visit and email us a photo of your drivers license and insurance card (front and back) to ihcpaa@protonmail.com   You can also text the photo to 734-547-3990. 

You should receive an email appointment reminder both one week before and one day before your appointment

**Cancellation or changes to your appointment must be made at least 1 full business day prior to the time of your appointment otherwise there is a $75 charge for the visit.

Drs. Saunders, Kaufman**, Picken and Zager**, Brenna Reichmann

  • New Patient Registration Form
  • Patient History Form
  • Privacy Policy (Read but no need to print)
  • ** Drs. Kaufman and Zager's paperwork can be filled out online which is preferred.  If it is absolutely not possible, you can print it out, fill it out and return it to us via email to ihcpaa@protonmail.com

Abby Humphrey

  • Patient History Form
  • Client Information Form
  • Consent Form
  • HIPPA 
  • Treatment Do's and Don'ts

Dr. Susannah Parke

  • New Patient Registration Form
  • New Patient History Form
  • Privacy Policy (Read but no need to print)
  • ​Information for New Patients (Read but no need to print)
Patient Fusion - Joining our Patient Portal

Getting lab results and communicating with your care provider is easy through our portal, "Patient Fusion". After your first visit, you should receive an invitation specifically to join the patient portal Follow the directions to create your account using either a phone number or a code that our office can supply.  If you prefer to use the code, please give our office a call.  If you have any questions about Patient Fusion, they have an excellent site at:  help.patientfusion.com/knowledgebase/articles/714102-how-do-i-register-my-patient-fusion-account
Integrative Healthcare Providers
2800 S. State Street - Suite 215
Ann Arbor MI 48104

734-547-3990
Fax:  734-547-3980
Office@ihcpaa.com
  • Welcome
  • Integrative Medicine
    • Acupuncture
    • Osteopathy
    • Low-Level Laser Therapy
  • Our Practitioners
  • FAQS
  • New Patient Forms
  • Contact Us
  • Patient Education
  • Telemedicine Appointments
  • Covid 19