Client Forms

 

New client will need to fill out several forms before services can begin. To make the process as smooth and efficient as possible, we provide the most important documents as downloads right here on our website.

 

Return the completed documents to our practice either in person, by fax or as a scanned PDF file via e-mail. Naturally, all forms are also available at the practice; however, filling them out in advance saves time.

If you are unsure which forms to fill out, don't hesitate to contact us.

 

 

Note: You will need Adobe(r) Reader(r) to view PDF files. If you do not have it, you can download it for free.

COVID-19 Form

COVID-19 Informed Consent Form
COVID Informed Consent.pdf
Adobe Acrobat document [197.3 KB]

New Patient Paperwork

All new patient paperwork can be submitted via email to admin@mytotalhealth.care.

 

2022 PAPERWORK IS BEING UPDATED FOR THE NEW YEAR. 

 

We will post new packets of forms as soon as the new paperwork is available.  All exisiting and new clients will need to complete a set of new forms in 2022, so if you are starting with us in the last couple weeks of the year, we ask that you wait and complete the 2022 paperwork, so you don't have to complete an entire new set of forms just a couple weeks from now.

Optional form, needed when you want us to communicate with anyone - family, other providers

Release of Information
Release of Information.pdf
Adobe Acrobat document [182.0 KB]

Where to Find Us

Total Health & Wellness Associates

  • 23580 Orchard Lake Road  Farmington Hills, MI 48336
  • 1025 E. Maple Rd. Suite B-7A  Birmingham, MI 48009
  •  245 Barclay Circle. Suite 400  Rochester Hills, MI 48307
  • 432 N. Saginaw St. Suite 433  Flint, MI 48502

Phone: (248) 957-6444

Email: admin@mytotalhealth.care

Or use our Contact Form.

 

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Client Forms

New client? Save time and reduce the amount of paperwork you have to fill out at your first visit. We provide several client forms as fillable PDF downloads on our site. 

Click Here 

WE ACCEPT MOST INSURANCES AND SELF-PAY