Patient Forms
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.
New/Annual Patient Paperwork
2026 PAPERWORK
2026 Annual New Patient Paperwork:
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2026 Release of Information PCP (required for all patients):
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2026 Annual Patient Paperwork / Updates:
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Updates Only
Forms needed when there are changes and you need to update only select information with us - insurance or address - not all of your information.
2026 Insurance & ID Information:
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Optional Forms
Needed when you want us to communicate with anyone - family, providers other than your PCP (for example, specialists).
2026 Release of Information:
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2026 Release of Information - Bariatric Surgeon:
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Payments
Securely pay a portion or total of your account balance
Patient Balance Payment:
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2026 Credit Card on File Form:
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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
Email: admin@mytotalhealth.care
Or use our Contact Form.
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Training for Therapists at Academy of Therapy Wisdom
Patient Forms
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
For more information regarding the terms, disclaimers, and privacy policy associated with our website, click here and scroll down to the section labelled "Privacy Policy"
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