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 admin@mytotalhealth.care.
2022 PAPERWORK
Psychotherapy.Counseling Packet 3.1.2022[...]
Adobe Acrobat document [1.3 MB]
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
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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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.
WE ACCEPT MOST INSURANCES AND SELF-PAY
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