• Welcome
  • About Us
    • Care Providers
      • Mo El-Fouly, M.D., Ph.D., FAAP
    • Photo Gallery
  • Patient Information
    • Insurance Information
    • Forms and Privacy Policy
    • Request For More Information
    • General Question
  • Our Location
  • Our Newsletter
    • Newsletter Signup

Forms and Privacy Policy

Privacy Policy:

HIPPA Privacy Notice (PDF)

Forms:

Registration Form (PDF)
Pediatric Health Questionnaire (PDF)

To view the documents with (PDF) in the name, you will need the free Adobe Reader.
Get Adobe® Reader®



  • New Patients are Welcome

    Same day appointments

    For appointments and information please call: 810-220-DRMO (3766)

  • OFFICE HOURS

    (Currently in effect)

    Monday - Wednesday 9:00 AM - 5:00 PM
    Thursday 1:00 PM - 7:00 PM
    Friday 9:00 AM - 3:00 PM

    CLOSED Saturdays and Sundays

  • OTHER SERVICES

  • Newsletter Sign Up

Copyright © 2006 DR. MO PEDIATRIC HEALTH SERVICES All rights reserved. | Privacy Notice (PDF)