Our action during COVID-19:

  • We continue to accept new clients for all services.
  • Our physical office spaces are only open for services that cannot be conducted via telehealth - massage, (neuro)psychological assessment, bariatric psychological evaluation.
  • All other services - psychotherapy, yoga therapy, and nutritional health -continue to be offered via HIPAA compliant telehealth/video platforms (phone when necessary).
  • Products can be ordered via your provider, at in-person appointments, and some are available for online ordering (see Products page).  If not purchased in-person, products will be mailed directly to you.

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.

Bariatric Packet
Bariatric.pdf
Adobe Acrobat document [1.1 MB]
Psychotherapy/Counseling Packet
Psychotherapy.pdf
Adobe Acrobat document [1'008.5 KB]
Psychological Testing/Assessment Packet
Psychological Testing.pdf
Adobe Acrobat document [1.1 MB]
Massage Packet
Massage.pdf
Adobe Acrobat document [1.2 MB]
Reiki Packet
Reiki.pdf
Adobe Acrobat document [1.1 MB]
Yoga Therapy Packet
Yoga Therapy.pdf
Adobe Acrobat document [1.1 MB]

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

  • 31700 W. 12 Mile Rd. Suites 100 & 250  Farmington Hills, MI 48334
  • 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: +1 734 368-7154+1 734 368-7154

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 

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