For first time consultation with Dr. S. Madani please use the links below to download our new patient intake forms. Please print and fill out the new patient form and bring it to our office on the day of your first appointment. Also be advised that payment of copays, deductibles or coinsurances may be due before the consultation as per your insurance.
Please choose one of the following form most relevant to your child.





Note: Adobe Acrobat® reader is required to view and print these forms. If you do not already have Adobe Acrobat® reader installed, you can download it here.




Progressive Child & Adolescent Gastroenterology is located in Troy, Michigan and provides treatment of gastrointestinal diseases, and conditions from new born to 21 years of age.

Copyright by S. Madani MD 2017. All rights reserved.