NEW PATIENT
Appointment Request

This appointment request form is to be used for inital evaluation of neck and/or back pain by one of our Physical Medicine Rehabilitation Physicians (Physiatrist), Dr. Kapteyn or Dr. Wilson; or our Spine Surgeons, Dr. Eyke, Dr. Hamati, Dr. Moulton. Our staff will call you within two business days to schedule your appointment. For more urgent issues please call us at 231-733-1326. For emergency issues please go to the Mercy Health emergency room at the Mercy-Sherman campus or the Mercy-Hackley campus and they will notify one of our physicians.