tri county orthopedics, p.c....tri county orthopedics, p.c. 28100 grand river, suite 209 farmington...

TRI COUNTY ORTHOPEDICS, P.C.

28100 Grand River, Suite 209 Farmington Hills, MI 48336-5969 (248) 474-5575

Fax (248) 474-4679 www.tricountyorthopedics.com

GENERAL ORTHOPEDICS ° SPORTS MEDICINE ° JOINT RECONSTRUCTION ° HAND SURGERY ARTHROSCOPIC SURGERY ° TRAUMATOLOGY

Homer C. Linard III, D.O., F.A.O.A.O. Jack D. Lennox, D.O., F.A.O.A.O.

Welcome to our office,

Thank you for choosing our practice for your orthopedic care. The staff of Tri County

Orthopedics, P.C. would like to make your experience with our office a pleasurable one. In order to better

serve you, we ask our patients to bring their current insurance card, driver’s license and list of current

medications. If you do not have a valid license, please bring in the identification card the state provides

you. If you are being seen for your upper extremities, please wear or bring a short sleeve or sleeveless

shirt. If you are being seen for your lower extremities, please wear or bring a pair of shorts or loose

fitting pants. For x-rays, make sure to avoid any clothes with metal or sequins.

Patients with HMO insurance please contact your Primary Care Physician (PCP) prior to your

visit, to obtain your referral. Please remember most PCP’s are requesting that their patients call at least

two weeks in advance for a referral.

If you were injured at work or in an auto accident, we request a letter of authorization from

either the worker’s compensation carrier or the auto company. This letter needs to have the claim

number, name, address, and phone number of the insurance company responsible for payment. This

letter shoulder also include the name and phone number of the contact person at the insurance

company. Your insurance company can either mail or fax this letter to us.

If your insurance does not pay for office calls or supplies, if you have a co-pay, or if you are

uninsured, we ask that these services be paid for before leaving the office. As a courtesy to you, our office

accepts personal checks, cash, Visa, MasterCard, American Express, Discover, and CareCredit.

If you have any questions regarding your appointment or our office policy, please feel free to

contact our office. Please fill out enclosed patient information sheets to bring to your appointment.

Thank you,

Tri County Orthopedics, P.C.

http://www.tricountyorthopedics.com/


28100 Grand River, Suite 209

Farmington Hills, Ml 48336-5969

(248) 474-5575

We are located in the South Professional Building,

thejirst huilding on the leP when you turn onto Bot!;jord Drive.

TRI COUNTY ORTHOPEDICS, P.C. 28100 Grand River, Suite 209 Farmington Hills, MI 48336-5969 Fax (248) 474-4679 (248) 474-5575 http://www.tricountyorthopedics.com

GENERAL ORTHOPEDICS º SPORTS MEDICINE º JOINT RECONSTRUCTION º HAND SURGERY ARTHROSCOPIC SURGERY º TRAUMATOLOGY

HOMER C. LINARD III, D.O., F. A. O. A. O. JACK D. LENNOX, D.O., F.A.O.A.O.

Date: __________ Patient Name: ____________________________________ Patient Social Security Number: ______________________ Address: ________________________________________ City: __________________ State: ____ Zip: ____________ Home Phone: ____________________________________ Cell Phone: ______________________________________ Email Address: ___________________________________ Sex: M__ F__ Age: ______ Birth Date: ________________ Height: ________________ Weight: __________________

In Case of Emergency Contact: Name: __________________________________________ Phone: ________________ Relationship: ______________

Referred by: _____________________________________ Doctor Phone: _____________________________

Primary Care Physician: ____________________________ Doctor Phone: _____________________________

Employer Name: __________________________________ Occupation: _____________________________________ Employer Phone: _________________________________ Race: White Black Asian Decline Other ____________ Ethnicity: Non-Hispanic Hispanic Decline Is English you primary language? Yes No- please list_____

Primary Insured: Name: ______________________ DOB: ______________ Phone number: ___________________________________

Past Medical History: (please fill in the bubble yes or no for the following)

Bleeding Problems O Yes O No Heart Disease O Yes O No Blood Clots O Yes O No High Blood Pressure O Yes O No Asthma O Yes O No Kidney Disease O Yes O No Cancer O Yes O No Liver Disease O Yes O No Cholesterol O Yes O No Stroke O Yes O No Diabetes O Yes O No Blood Disease O Yes O No Please list:_________

Other: _____________________________________________________________________________

Past Surgical History

__________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________

Medications and Dosage __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________

Allergies and Reactions __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________

Social History: Marital Status: O Single O Married O Widowed O Divorced Employment Status: O Full time O Part time O Unemployed O Retired O Disabled O Student


Social History Tobacco Use/Smoking:

Are you a: O current smoker O former smoker O nonsmoker Are you an other tobacco user: O Yes O No

Drugs and Alcohol: Have you used drugs other than those for medical reasons in the past 12 months: O Yes O No Did you have a drink containing alcohol in the past year: O Never O Monthly or less O 2 to 4 times a month O 2 to 3 times a week O 4 or more times a week

Family History Mother: O Deceased O Cancer O Hypertension O Heart Disease O Diabetes Other:____________________________________________________________ Father: O Deceased O Cancer O Hypertension O Heart Disease O Diabetes Other:____________________________________________________________ Siblings: O Deceased O Cancer O Hypertension O Heart Disease O Diabetes Other:____________________________________________________________

Review of System:

General/Constitutional: Good general health: OYes ONo Recent weight change:OYes ONo Night sweats, fever: OYes ONo Fatigue: OYes O No

Allergic/Immunologic: Aspirin allergies: OYes ONo Antibiotic allergies: OYes ONo Food allergies: OYes ONo

Ophthalmologic: Blurred/double vision: OYes ONo Eye disease or injury: OYes ONo Glaucoma: OYes ONo Wear glasses/contacts:OYes ONo

ENT: Hearing loss/ringing:OYes ONo Nosebleed: OYes ONo Sinus problems: OYes ONo Voice change: OYes ONo

Cardiovascular Chest pain: OYes ONo Palpitations: OYes ONo Heart disease: OYes ONo Swelling hands/feet: OYes ONo

Gastrointestinal: Nausea/vomiting: OYes ONo Abdominal pain: OYes ONo Rectal bleeding: OYes ONo Bowel problems: OYes ONo

Hematology Bruise easily: OYes ONo Slow to heal: OYes ONo Enlarged glands: OYes ONo

Musculoskeletal Muscle pain/cramps:OYes ONo Stiff/swelling joints: OYes ONo Joint pain: OYes ONo Trouble walking: OYes ONo

Skin Change in hair/nails:OYes ONo Rashes or itching: OYes ONo Easily bruises : OYes ONo Easily bleeds: OYes ONo

Neurologic Frequent headaches OYes ONo Paralysis or tremors OYes ONo Convulsions/seizures OYes ONo Numbness/tingling OYes ONo

Psychiatric Insomnia: OYes ONo Confusion: OYes ONo Depression OYes ONo

Genitourinary Blood in urine: OYes ONo Kidney stones : OYes ONo Sexual problems: OYes ONo Testicular pain/menstrual problems: OYes ONo

Endocrine Excessive thirst: OYes ONo Thyroid disease: OYes ONo Hormone problem: OYes ONo

Respiratory Shortness of breath: OYes ONo Cough: OYes ONo Wheezing/asthma: OYes ONo Coughing up blood: OYes ONo

Patient Statement: To the best of my knowledge, the above information is accurate and complete. Signed:_________________________________________________ Date:__________________






Acknowledgement Form

Patient Name: ___________________________________________ Date of Birth: __________________

Please review and initial each policy listed below. Initials:

Notice of Health Information Practices (HIPAA) I hereby acknowledge that I have received/or been offered Tri County Orthopedics, P.C. HIPAA Notice.

Consent for Treatment: I hereby acknowledge that I consent to the performance of diagnostic procedures, and rendering treatment by the medical provider and their designated medical office staff as it is deemed necessary in the medical provider’s judgment.

Consent for E-Prescribing: I hereby acknowledge that I consent for Tri County Orthopedics, P.C. to retrieve electronic prescribing information from other providers. I agree to electronic transmission of my prescriptions directly to my pharmacy of choice. Pharmacy Name: _________________ City and Street: __________________ Phone: _____________

Consent for insurance billing: I hereby acknowledge payment directly to: Tri County Orthopedics, P.C. for the medical and/or surgical services as described. I understand that I will be responsible for any balance not covered by insurance benefits. I authorize the release of all information regarding my condition as necessary to process these and/or related claims.

Notice of Financial Policy: I hereby acknowledge that I have received or been offered the Tri County Orthopedics, P.C. Financial Policy.

PCMH-N: I hereby acknowledge that I have received or been offered the policy that details participation of Tri County Orthopedics, P.C. in the Patient Centered Medical Home (Neighbor) network of the Olympia Medical Services (OMS).

Consent for Patient Reminders and Notifications: I hereby acknowledge that I have reviewed and consent to the terms and conditions for Tri County Orthopedics, PC patient reminder and notification system through our electronic medical record vendor, eClinicalWorks, LLC.

Consent for Health Information Exchange: I hereby acknowledge that I consent to participating in the health information exchange networks through Tri County Orthopedics, PC electronic medical records software system.

Signature: ____________________________________________________ Date: ___________________

If guardian or DPOA, print name: _____________________________ Relationship: __________________




JACK D. LENNOX, D.O.,F.A.O.A.O.HOMER C. LINARD III, D.O., F. A. O. A. O.

EFFECTIVE SEPTEMBER 23, 2014 NOTICE OF HEALTH INFORMATION PRACTICES

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.

PLEASE REVIEW CAREFULLY. Introduction: At Tri Count Orthopedics, P.C. we are committed to treating and using protected health information about you responsibly. This Notice of Health Information Practices describes the personal information we collect, and how and when we use or disclose the information. It also describes your rights as they relate to your protected health information. This Notice is effective September 23, 2014 and is being provided to you in accordance with the Health Insurance Portability and Accountability Act of 1966 (HIPPA) and applies to all protected health information as defined by federal regulations. Understanding Your Health Record/Information: Each time you visit Tri County Orthopedics, P.C. a record of your visit is made. Typically, this record contains your symptoms, examination and test results, diagnoses, treatment, any medications, and a plan for future care or treatment. This information is often referred to as your health or medical record and serves as a:

• Basis for planning your care or treatment• Obtaining payment for treatment• Means of communication among the many health care

professionals who contribute to your care• Legal document describing the care that you receive• Means by which you or a third party payer can verify that

services billed were actually provided• A tool in educating health care professionals• A source of data for medical records• A source for information for public health care officials

charge with improving the health of this state and nation• A tool in which we can assess and continually work to

improve the care we render and the outcomes weachieve. (Your health record or medical record may alsoserve as a source at data for our planning and marketing,but you have certain rights, as described below, withrespect to the use and discloser of your record for thispurpose.)

Understanding what is in your record and how your health information is used helps your to ensure its accuracy, better understand who, what, when, where, and why others may access your health information, and make informed decisions when authorizing disclosures to others. Your Health Information Rights Although your health record is the physical property of Tri County Orthopedics, P.C., the information belongs to you. You have the right to:

• Obtain a paper copy of this notice of informationpractices upon request. If you request copies we willcharge you $0.25 for each page. You also have the rightto receive a list of instances where we have disclosedhealth information about you for reasons other than,treatment, payment, or related administrative purposes.

• Patients have the right to restrict disclosure of PHI(personal health information) to health plans if they payfor services out of pocket in full.

• Grant of deny written authorization for certain uses anddisclosures of your health records, as provided for in 45CFR 164.508. These uses and disclosures are other thanthe ones highlighted by the bullet points.

• Inspect and copy your health records as provided for in45 CFR 164.524 which sets forth the exceptions to yourright to inspect and copy your record.

• Obtain an accounting of disclosures of non-routine usesand disclosures other than for treatment, payment, andhealth care operations as your health information asprovided in 45 CFR 164.528.

• Request communications of your health information bealternative means or at alternative locations as providedin 45 CFR 164.522

• Request a restriction on certain uses and disclosures ofyour health information as provided by 45 CFR 164.522.The right to request a restriction does not extend to usesor disclosures permitted or required under HIPPA asprovided in 45 CFR 164.502, 164.510, and 164.508.

• Revoke any authorization you have given to Tri CountyOrthopedics, P.C. to use or disclose health information,except to the extent that action has already been takenas provided for in 45 CFR 164.508.

Our Responsibilities Tri County Orthopedics, P.C. is required to:

• Maintain the privacy of your health information.• Provide you with this notice as to our legal duties

and privacy practices with respect to information wecollect and maintain about you.

• Abide by the terms of this notice.• The patient’s authorization is required for use and

disclosure of PHI that would constitute a sale of PHI.• Patients have the right to opt out of fundraising

communications• Other uses and disclosures of PHI not described in

the notice will be made only with authorization formthe patient.


• Patients have the right to be notified if they areaffected by a breach of unsecured PHI.

• Notify you if we are unable to agree to a requestedrestriction. Provide you with review of a decisiondenying you access to your health record asprovided for in 45 CFR 164.524. Grant or deny yourrequest to amend your health records. If the requestor an amendment is denied, Tri County Orthopedics,P.C. must provide you with a timely written denial asprovided for in 45 CFR 164.526.

• Accommodate reasonable requests you may have tocommunicate health information by alternativemeans or at alternative locations, if you clearly statethat the disclosure of all part of that informationcould endanger you as provided for in 45 CFR164.522

• Tri County Orthopedics, P.C. is not required to:o Agree to restrictions that you request on

the uses and disclosures of your healthinformation.

o Grant you access to your health record ifany of the exceptions provided for in 45 CFR164.524 apply.

We reserve the right to change our practices and to make the new provisions effective for all protected health information we maintain. Should our information practices change we will post a revised notice on out office and upon request you may obtain a written copy. We will not use or disclose your health information without your authorization, except as described in this notice. We will also discontinue using or disclosing your health information after we have received a written revocation of the authorization according to the procedures included in the authorization as provided for in 45 CFR 164.508 apply. If you have any questions and would like additional information, you may contact the practice’s Privacy Officer, at (248) 474-5081. You may request an amendment to your health care information only if you believe it to be incorrect or incomplete. To do so you must submit in writing a reason, that supports your request. Any request not submitted in writing with a valid reason will be declined. Opinion is not a valid reason. If you believe your privacy rights under HIPPA have been violated, you can file a complaint with our Privacy Officer, or with the Office of Civil Rights, U.S. Department of Health and Human Services. There will be no retaliation for filing a complaint with either Privacy Officer or the Office of Civil Rights.

Examples of Disclosures for Treatment, Payment and Health Operations We will use your health information for treatment. For Example: Information obtained by a medical assistant, physician, resident, or other member of your health care team will be recorded in your record and used to determine the course of treatment that should work best for you. Your physician will document in your record his or her expectations of the member of your health care team. Members of your health care team will then record the actions they took and their observations. In that way, the physician will know how you are responding to treatment. We will also provide your primary physician or a subsequent health care provider with copies of various reports that should assist him or her treating you. We will use your health information for payment For Example: A bill may be sent to you or a third party player. The information on or accompanying the bill may include information that identifies you, as well as your diagnosis, procedures and supplies used. We will use your health information for regular health operations. For Example: Members of the medical staff may use information in your health record to assess the care and outcome in your case and others like it. This information will then be used in an effort to continually improve the quality and effectiveness of the health care and services we provide. Business Associates: There are some services provided in our organization through contacts with business associates. Examples include physician services in the emergency department and radiology, certain laboratory tests, and copy service we use when making copies of your health record. When these services are contracted, we may disclose your health information to our business associates so that they can perform a job we’ve asked them to do. To protect your health information, however, we require the business associate to appropriately safeguard your information. Notification: We may use or disclose information to notify or assist a family member, personal representative, or another person responsible for your care, your location, your general condition. Communication with Family: Health professionals using their best judgment may disclose to a family member, other relative, close

personal friend or any other person you identify, health information relevant to that person’s involvement in your care or payment related to your care. Research: We may disclose information to researchers when their research has been approved by an institutional review board that has been reviewed the research proposal and established protocols to ensure the privacy of your health information. Prior to any research we will contact you personally and request written authorization. Appointment Reminder/Personal Messages: We may contact you to provide appointment reminders. We have an automated service as well as personal contacts from Tri County Orthopedics, P.C. that may contact you with voicemail messages, appointment changes, prescriptions renewals, and health care related treatment as well any billing and insurance issues. Workers Compensation: We may disclose health information to the extent authorized by and to the extent necessary to comply with laws relating to workers compensation or other similar programs established by law. Public Health: As required by law, we may disclose your health information to public health or legal authorities charged with preventing or controlling disease, injury, or disability. Correctional Institution: Should you ca an inmate of a correctional institution, we may disclose to the institution or agents thereof health information necessary for your health and the health and safety of other individuals. Law Enforcement: We may disclose health information for law enforcement purposes as required by law or in response to a valid subpoena. Electronic Notice: If you receive Notice on our Web site of by electronic mail (e-mail), you are entitled to receive this notice in written form. Abuse or Neglect: We may notify government authorities if we believe that a patient is the victim of abuse, neglect, or domestic violence. Coroners, Funeral Directors: We may disclose protected health information to a coroner or medical examiner. Other Uses: Emergency, administrative and auditing purposes



HOMER C. LINARD III, D.O., F. A. O. A. O. JACK D. LENNOX, D.O., F.A.O.A.O.

Patient Financial Policy

Thank you for choosing us as your health care provider. Our fees are based upon level of services required, complexity of injury/illness, along with time spent treating you. We are committed to your treatment being successful. Therefore, reviewing the Patient Financial Policy is important to understand your financial obligations.

Insurance: Tri County Orthopedics, PC participates in several insurance plans and will bill most insurance carriers. Please notify us if your insurance carrier or policy has changed since your last visit.

Co-payments: Per health insurance contracts, co-payments are required to be collected at the time of service. This is a pre-determined rate you pay for health care service by your health care insurance. Please be prepared to pay your co-payment prior to your visit.

Deductible and Co-Insurance: Per health insurance contracts, the deductible is how much you pay before health insurance starts to cover health care bills. Co-insurance is a certain percentage of the medical charge you are responsible to pay with the rest of the percentage being paid by the health insurance – after the deductible is met. We will verify insurance benefits and bill your insurance company. Patient responsibility portions are to be paid upon first receipt of patient statements

Non-Covered Services: If a service is determined to be non-covered by your health insurance plan, you will be responsible for payment of the charges.

Non-Participating Insurance Plans or “Out of Network”: It is your responsibility to verify whether Tri County Orthopedics, PC contracts with your specific health insurance plan, or is a “participating provider”. All outstanding balances are your responsibility.

Referrals: If your health insurance plan requires a referral from your PCP, primary care physician, please obtain this prior to and present at the time of your appointment, or you may be required to reschedule your visit.

Workers Comp/Auto Claim: In order for us to file your claim, you must provide complete billing information. Without this information, we will be unable to bill your claim properly; and payment for services will be your responsibility. For workers comp claims, an authorization letter is required. For auto claims, please provide an open claim number, name of your adjuster, insurance company billing address and phone number.

Self Pay/Uninsured: Payment in full is due at the time of your appointment for all self-pay or uninsured patients. For your convenience, we do offer payment plans for large balances.

Minor Patients: The adult accompanying a minor and either parent (or guardian of the minor) are responsible for full payment.

Post-operative Surgery Charges: Related office visits following most surgical procedures are included in surgical charges and will not be billed within the 10 to 90 day post-operative period. Additional services such as x-rays, injections, casting and materials will be charged separately during this time.

Payment for services are accepted by: Visa, MasterCard, American Express, Discover, Cash, or Check. Patient accounts will be charged a $25 fee for nonsufficient funds per check returned.

If you have any further questions or are unable to pay in full, please contact out Billing Department to make arrangements for payment at 248-474-5081.


http://www.carecredit.com/

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Patient-Provider Partnership Agreement

Welcome to a Neighbor of your Patient-Centered Medical Home. Thank you for choosing to partner with our medical practice for patient-centered care. We appreciate the trust and confidence you have placed in us for your care.

Specialist Responsibilities

• Listen to your health concerns.

• Communicate with your Primary Care Physician about treatment plans, medications, test orders and test results.• Support the treatment plans and health goals set by your Primary Care Physician.• Have an agreement with your Primary Care Physician regarding who will have the lead responsibility for your care if a

chronic disease exists.• Have same day appointments available for urgent problems and appointments within 1-3 weeks available depending on

your medical needs.• Work with your Primary Care Physician to effectively coordinate all aspects of your care to avoid duplication in

medication and testing.

Patient Responsibilities

• Communicate openly• Participate with your health care team in the development of treatment plans to improve your health• Provide Health Care Team with feedback regarding Action and treatment plans.• Respect the time of others by being on time for appointments and procedures.• Schedule and attend appointments at intervals suggested by Health Care Team.• Involve yourself in Physician’s and other health care professionals’ recommendations with respect to maintenance or

improvement of your health and wellness.• Participate in action planning and goal setting with respect to maintenance or improvement of your health and wellness.• Participate in developing and maintaining a comprehensive health record by authorizing delivery and circulation of

clinical information to and from clinicians and health care institutions.

This medical practice is a participating medical home through Olympia Medical Services, PLLC







Patient Reminders, Notifications and Health Information Exchange

Consent for Patient Reminders and Notifications By initialing on the acknowledgement form, you are consenting to receive messages from us, your healthcare provider, that utilizes an automatic telephone dialing system to deliver a text, voice, or pre-recorded message that may contain health related information or healthcare management advice at the telephone number (s) that you have provided. You understand that you are not required to provide consent in order to receive such information or advice from your healthcare provider.

Terms & Conditions Your request to receive automated voice and text messages from us, your healthcare provider, constitutes your agreement to these terms and conditions. You agree that we may send you automated voice and text messages through your wireless provider to the valid mobile or landline number that you have provided us. You agree to indemnify, defend, and hold us, our technology service vendor – Healow LLC, our electronic medical record vendor – eClinicalWorks, LLC, and its affiliated companies harmless from any third-party claims, liability, damages or costs arising from your request to receive automated voice or text messages or from providing us, your healthcare provider, with a phone number that is not your own. You agree that we and our technology solution vendors will not be liable for failed, delayed or misdirected delivery of, any information sent to you or from you, including opt-out requests. You must be 18 years or older in order to participate or have the express permission of a parent/guardian (but in any case, you must be at least 13 years old). This is a standard-rate messaging program where message and data rates may apply. Frequency of message may vary depending on the number of messages that you are due to be sent by your healthcare provider. Supported carriers include AT&T, Verizon Wireless, T-Mobile, Metro PCS, Sprint, Boost, Virgin Mobile, U.S. Cellular, and others. Additional carriers may be added at any time. Carriers are not liable for delayed or undelivered messages.

Consent for HIE – Health Information Exchange Electronic exchange of clinical information allows doctors, nurses, pharmacists, other health care providers, and patients to access and securely share a patient's vital medical information electronically. This improves the speed, quality, safety, coordination, and cost of patient care. Your medical record is stored electronically in eClinicalWorks, a computer software program. As your healthcare provider, we participate in health information exchange networks such as Carequality and CommonWell Health Alliance in order to secure access and share patient information. Patient consent is required for information exchange with outside facilities. By initialing on the acknowledgement form, you are consenting to allow us to access and share your vital information related to your healthcare, or you can choose to opt-out of HIE by not initialing.

HOW DOES HIE HELP YOU? • Helps your doctor share information – Allows your different doctors to have more secure, quick access to your important health information. This

includes health facilities you visit near home as well as while you are traveling in the U.S.• Gets you faster and better care – With less time wasted on tracking down your test results and other information, your health care providers can

spend more time on your care. • Supports you in case of emergency – There may be a time when you don’t have the ability to share your health information. Medical staff could

immediately access your allergies, medications and health problems.• Protects your data – Electronic sharing is more secure than a fax or paper file, which could easily be lost or viewed without permission.


Tri County Orthopedics is proud to be part of the PCMH (Patient Center Medical Home) Model by being a PCMH-Neighbor. This model is a team-based approach by all of a patient’s healthcare providers with the goal of obtaining maximum patient outcomes. We offer a variety of tools for you to communicate, learn and manage your healthcare needs. To stay connected, please take advantage of the following:

Patient Portal

Healow App

Messenger -

HIE – Health Information Exchange

Our team is happy to be a part of your healthcare experience – see specific information, consent, and terms for each connection.

tri county orthopedics, p.c....tri county orthopedics, p.c. 28100 grand river, suite 209 farmington...

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