Avalon Physician Services Covid-19 Intake Forms 39550 Orchard Hill Place Novi 48375- Drive Thru
Vaccine and Covid Testing : Please fill out this form if you would like to receive a call to schedule an appointment. Once the forms have been filled out a staff member will call you to schedule your appointment  Please keep in mind that our staff is working through thousands of requests and call backs may take longer than usual.
(For Covid-19 Testing -This email address is where your PCR Covid Results will be sent. The password to retrieve the results is the four digit year you were born. The results will come from NW LABS.)
Sign in to Google to save your progress. Learn more
Email *
Phone Number *
Reason for Visit *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Avalon Physician Services. Report Abuse