Wendy Moller, MD
Trinity Health IHA Medical Group, Primary Care - Brooklyn
8:00 AM - 5:00 PM 8:00 AM - 5:00 PM 8:00 AM - 5:00 PM 8:00 AM - 5:00 PM 8:00 AM - 5:00 PMClosed Today Closed Today
Welcoming New Patients
Welcoming New Patients
Address
212 S. Main St.
Suite A
Brooklyn, MI 49230
US
Contact
Phone:
(734) 995-0308
Hours
Store Hours:
| Day of the Week | Hours |
|---|---|
| Mon | 8:00 AM - 5:00 PM |
| Tue | 8:00 AM - 5:00 PM |
| Wed | 8:00 AM - 5:00 PM |
| Thu | 8:00 AM - 5:00 PM |
| Fri | 8:00 AM - 5:00 PM |
| Sat | Closed |
| Sun | Closed |
About Wendy Moller, MD
Information & Forms
- Advance Care Planning Booklet
- New Patient Form - Adult
- Authorization for Sharing Information Form
- Financial Assistance Application Form
- Authorization to Treat Minors Form
- Authorization for Release of Information Form
- ADHD Vanderbilt Assessment Form - Parent
- Screening Questionnaire for Immunizations - Adult & Child
- Asthma Control Test - Teens 12+ Years
- Asthma Control Test - Children 4-11 Years
- Medicare Wellness Checkup - Health Risk Assessment Form
- MHSAA Physical Examination Form
- Authorization to Treat Minors Form
- ADHD Vanderbilt Assessment Form - Teacher
- Authorization for Release of Information Form
- Pediatrics Demographic Form
- Authorization for Sharing Information Form
- Medicare Wellness Checkup - Health Risk Assessment Form
- Lifestyle Medicine Assessment Form - Short
- Lifestyle Medicine Assessment Form - Long
- Lifestyle Medicine Assessment Form
Medical Education
- University of Michigan Medical School
Residency
- Providence Hospital Southfield, MI Obstetrics/Gynecology GME
Board Certifications
- Basic Cardiac Life Support
- Drug Enforcement Administration
- American Board of Family Medicine
Information & Forms
- Advance Care Planning Booklet
- New Patient Form - Adult
- Authorization for Sharing Information Form
- Financial Assistance Application Form
- Authorization to Treat Minors Form
- Authorization for Release of Information Form
- ADHD Vanderbilt Assessment Form - Parent
- Screening Questionnaire for Immunizations - Adult & Child
- Asthma Control Test - Teens 12+ Years
- Asthma Control Test - Children 4-11 Years
- Medicare Wellness Checkup - Health Risk Assessment Form
- MHSAA Physical Examination Form
- Authorization to Treat Minors Form
- ADHD Vanderbilt Assessment Form - Teacher
- Authorization for Release of Information Form
- Pediatrics Demographic Form
- Authorization for Sharing Information Form
- Medicare Wellness Checkup - Health Risk Assessment Form
- Lifestyle Medicine Assessment Form - Short
- Lifestyle Medicine Assessment Form - Long
- Lifestyle Medicine Assessment Form
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