This page allows you to request an appointment with any physician at Surgical Specialists of Michigan. Follow the simple steps below, and a representative from SSM will confirm the time and place of your appointment.


Step 1, Choose Date and Time
Select two date preferences, and select a time-slot for each date.

Month: Day: Year Time:

Month: Day: Year Time:


Step 2, Choose Physician and Location

Physician and Location:  
 


Step 3, Reason For Your Appointment

 


Step 4, Contact Information

  Name:
  Address 1:
  Address 2:
  City:
  State:
  Zip:
  Telephone:
  E-mail:


Step 5, Submit Your Request
A representative from SSM will contact you to confirm the date, time, and location of your appointment.