Patient Forms

PATIENT HISTORY QUESTIONNAIRE
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HIPPA PRIVACY POLICY
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Contact Us
Benjamin H. Stein, O.D., Inc.
Applegate Square Shopping Center
29911 Northwestern Highway
Southfield, MI 48034
Phone: 248-569-2025

COVID-19 - PLEASE INFORM OUR STAFF: If you are sick, or have been out of the the country recently.You will need to change your appointment.

Office Hours
Mon 10:00 am - 6:00 pm
Tue 10:00 am - 6:00 pm
Wed 10:00 am - 6:00 pm
Thu 10:00 am - 6:00 pm
Fri 10:00 am - 6:00 pm
Sat 10:00 am - 2:30 pm Sun CLOSED
3/18 10-5
3/19 10-5
3/20 11-2
03/21 CLOSED

*We may have limited hours to protect our staff and our patients* Please call the office to verify office hours due COVID-19!
Be safe.
IF YOU ARE SICK, WE ASK THAT YOU PLEASE STAY HOME.
Thank you,
Dr. Stein's office

Notice of Privacy Practices
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