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Dr. Jeffrey Sanfield, has been selected for Best Doctors in America

Dr. Jeffrey Sanfield Receives 2010 Top Doc Award from Hour Detroit Magazine!

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  Listed below you will find links to our most requested forms and pages.
   
  Patient Information Form
HIPAA Form Signature Page
Our Financial Policy
Learn About Your Condition
Contact Us
   
 

Forms for New Patients
Ann Arbor Endocrinology and Diabetes Associates (AAEDA) has created a New Patient Form Package so that new patients may complete the forms at their convenience before their first office visit. To download the package click here.

Our HIPPA Privacy Statement and Acknowledgement Form are also available as a download.
Click here to download the entire Privacy Statement.

Payment Information
AAEDA now accepts Visa, Mastercard and Discover as payment at time of service.

Callback Policy
Our office has a policy that all patients leaving routine messages are called back within 24 to 48 hours. If for some reason you do not receive a callback within two days, please call again as we may not have received your message clearly.

Additional Forms
Email Consent Form (downloadable PDF) (Not needed for first visit)

Clinical Information for New Patients
Preparing and Injecting Insulin Dose
Low Blood Sugar
Blood Glucose Monitoring Flow Sheet
Diabetes Management Flow Sheet
Diet Worksheet
Insulin Rotation Record
Diabetic NPO Instructions
Low Iodine Diet Guidelines
Traveling with Diabetes Supplies
Disposal Tips for Home Health Care


 
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