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.

Client Information.pdf
Adobe Acrobat document [187.3 KB]
Informed Consent.pdf
Adobe Acrobat document [223.7 KB]
HIPAA.pdf
Adobe Acrobat document [236.7 KB]
Release of Information.pdf
Adobe Acrobat document [177.8 KB]
Electronic Communication Consent.pdf
Adobe Acrobat document [190.3 KB]
Medication List.pdf
Adobe Acrobat document [172.4 KB]
Social Media Policy.pdf
Adobe Acrobat document [182.8 KB]
Credit Card Authorization Form.pdf
Adobe Acrobat document [199.1 KB]
Legal Fees.pdf
Adobe Acrobat document [197.3 KB]
Massage Intake.pdf
Adobe Acrobat document [312.9 KB]
Reiki Consent.pdf
Adobe Acrobat document [191.8 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 PDF downloads on our site. 

Click Here 

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