New patients will need to fill out several forms before services can begin. To make the process as smooth and efficient as possible, we provide access to the most important documents via our secure portal right here via our website.
Returning the completed documents to our practice in advance saves time.
If you are unsure which forms to fill out, don't hesitate to contact us.
Patient Information 2023:
Release of Information PCP (required for all patients):
Annual Patient Information Without Changes:
Forms needed when there are changes and you need to update only select information with us - insurance or address - not all of your information.
Insurance & ID Information:
Needed when you want us to communicate with anyone - family, providers other than your PCP (for example, specialists).
Release of Information:
Release of Information - Bariatric Surgeon:
Securely pay a portion or total of your account balance
Patient Balance Payment:
Credit Card on File Form:
Total Health & Wellness Associates
Phone: (248) 957-6444
Or use our Contact Form.
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New patient? Save time and reduce the amount of paperwork you have to fill out at your first visit. We provide access to the most important documents via our secure portal right here via our website.
WE ACCEPT MOST INSURANCES AND SELF-PAY