SAED J. SAHOURI, MD, FACP
PhysiciaN info |
Saed J. Sahouri, MD, FACP: Internal Medicine
Primary Care in Flint, MI, (810) 720-4200
Forms & Documents
recommend that new patients complete forms ahead of time for faster
You may download
a particular file to your computer, or simply print it.
The following documents are in PDF format and will
need Adobe Reader to open. If you do not have Adobe Reader, click
on the Adobe icon below to download it for free.
Patient Registration Form:
Complete this form and bring it with
you on your first visit for a faster one-time registration.
Medical Records Release Form:
This form is required to obtain your
medical records from your previous primary care physician and
Disclosure of Health
Information Form: Complete
this form to allow us to discuss or share your medical history and
information with your family or others who you may wish to have
access to your medical record.
Notice of Privacy Practices:
If you have any questions regarding
your health care information, we will be happy to discuss it with