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.

New/Annual Patient Paperwork

All new patient paperwork can be submitted via email to



Psychotherapy Counseling Packet
Psychotherapy.Counseling Packet 3.1.2022[...]
Adobe Acrobat document [1.3 MB]
Assessment Packet
Assesment Packet 3.1.2022.pdf
Adobe Acrobat document [1.4 MB]
Bariatric Packet
Bariatric Packet 3.1.2022.pdf
Adobe Acrobat document [1.4 MB]
Release of Information - PCP
Release of Information PCP 3.1.2022.pdf
Adobe Acrobat document [428.7 KB]

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

Release of Information
10Release of Information 3.1.2022.pdf
Adobe Acrobat document [188.4 KB]

Where to Find Us

Total Health & Wellness Associates

  • 23580 Orchard Lake Road  Farmington Hills, MI 48336
  • 245 Barclay Circle. Suite 400  Rochester Hills, MI 48307
  • 432 N. Saginaw St. Suite 433  Flint, MI 48502

Phone: (248) 957-6444


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