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Staff
Services
Neuropsychological Evaluation
Individual Psychotherapy
Psychiatric Medications
Group Psychotherapy
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TeleHealth
About
Contact Us
Location
FAQ
☎ (269) 375-2222
0
Welcome
Staff
Services
Neuropsychological Evaluation
Individual Psychotherapy
Psychiatric Medications
Group Psychotherapy
Make A Payment
TeleHealth
About
Contact Us
Location
FAQ
☎ (269) 375-2222
0
Cogscreen
Cogscreen.HelP
Dr. Alan Lewandowski
Board Certified in Clinical Neuropsycholog
y
REFERRAL INFORMATION
Name of Referring Physician or Provider
*
First Name
Last Name
M.D./D.O., PA-C, NP, PH.D, RN/BSN, MSW
M.D./D.O.
PA-C
NP
PH.D
RN/BSN
MSW
Physician or Provider Contact Number
*
(###)
###
####
Location
*
Ascension Borgess Hospital
Bronson Methodist Hospital
Bronson Battle Creek Hospital
PATIENT INFORMATION
Patient Name
*
First Name
Last Name
Approximate Age
*
Reason for referral
*
Thank you!