New Patient Forms

Name: Michigan TCM Wellness Center
Telephone: 586.221.0650

New patients, please download and Complete the appropriate forms prior to your first appointment.

*Clinic Guidelines for Covid-19 and Patient Safety Consent

Informed Consent/New Patient Health History

Covid-19 Response Plan (Read Only-does not need to be printed out.)

HIPAA Notice of Privacy Practices (does not need to be printed out)

Insurance Form (only fill out if you have acupuncture coverage) – We do not bill insurance. All services are self-pay. A superbill can be provided as a courtesy for reimbursement, should you have coverage. Acupuncture is covered through HSA and FSA accounts.

Click here or call to request an appointment
Michigan TCM Wellness Center

45163 Cass Avenue
Utica, Michigan 48317

586.221.0650
Mon & Thurs | 10am - 6pm
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Testimonials

“Michigan TCM Wellness Center is amazing. I developed serious eczema and the acupuncture has really improved my skin issues. It has helped with my stress and gives me time to mediate. The owner cares about all your individual needs and recommends/teaches you about healing in non traditional methods. I am a full believer in this practice!-E.H.

“Emily has been a huge part of my healing journey. She has treated me for over 2 years for complications stemming from mold toxicity.
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“My husband and I have been going to Michigan TCM Wellness Center for over a year now. It has become a great way for us to do a little self-care, and take time out of our busy day to relax and ensure continued wellness. My husband has been going for ulcerative colitis relief and I have been going for allergies. The atmosphere that Emily has created at her Center is so inviting and relaxing that we look forward to our
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“I have been getting acupuncture for a few months now and I find it very beneficial. Acupuncture has helped with my anxiety, energy levels and overall mental health. Emily is knowledgeable, friendly and has great bedside manner. I would highly recommend her if you’re interested in trying acupuncture.”-H.H.

“I recently started acupuncture to help treat anxiety & severe panic attacks. Emily has helped give me my life back after struggling with panic attacks for nearly 6 months. She makes sure
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“After 4 years of trying to get pregnant, visiting fertility doctors and taking medications/procedures, I had almost lost hope of having a baby. Fortunately, I found Emily. After a month and a half of weekly acupuncture with her, I got pregnant. She is simply the best, she knows what she is doing, she loves to help others and she is a wonderful doctor/person. I highly recommend her. Me and my husband love her and what she has done for us.”
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“I was diagnosed with Ulcerative Colitis (UC) when I was a newly married 22 year old. When I got pregnant a year later, the symptoms only got worse and the flares more frequent, requiring a blood transfusion and an emergency C-section 5 weeks prematurely (thankfully my baby boy was perfect and healthy). I was accepted into pharmacy school 7 months later, and continued to fail all the treatments my doctors tried to keep my UC in check, all the while
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Acupuncture in Downtown Utica, MI

Michigan TCM Wellness Center specializes in: Acupuncture, Traditional Chinese Medicine, Herbal Medicine, Cupping, Massage, Wellness, Health, Fertility, Dry Needling, Orthopedic Needling, Electro-Acupuncture, Estim

Michigan TCM Wellness Center treats the following conditions (not inclusive of all conditions): indigestion, reflux, nausea, gastritis, irritable bowel syndrome, constipation, diarrhea, colitis toothaches, laryngitis, canker sores, ringing in the ears, sore throat, TMJ sinusitis, bronchitis, asthma, emphysema, skin rashes, allergies, leg swelling, cold extremities, urinary incontinence, PMS, infertility, symptoms of menopause, irregular periods, painful periods, heavy bleeding, endometriosis, fibroids, neck pain, back pain, knee pain, sciatica, frozen shoulder, bursitis and tendonitis, arthritis, sprains, fibromyalgia and chronic fatigue syndrome, tennis elbow; can also aid with rehabilitation for healing fractures, joint injuries and chronic pain, headaches, carpal tunnel syndrome, trigeminal neuralgia, vertigo, pain from shingles, peripheral neuropathy, stress and tension, anxiety, depression, insomnia post op healing, chemotherapy and radiation therapy, AutoImmune, MS, Hashimoto’s disease, thyroid issues, celiac disease, rheumatoid arthritis, Lupus, infertility, natural fertility care, support to IUI/IVF, chronic miscarriage, impotence, low sperm count, low motility, substance abuse and addiction, smoking cessation, alcohol & drug addiction

Michigan TCM Wellness Center serves the Metro Detroit area including the following cities: Utica MI, Sterling Heights MI, Troy MI, Rochester MI, Rochester Hills MI, Macomb Twp MI, Grosse Pointe MI, Saint Clair Shores MI, Madison Heights MI, Roseville MI, Warren MI, Royal Oak MI, Ferndale MI, Detroit MI, Harrison Township MI, Birmingham MI, Berkley MI, Hamtramck MI, Shelby Township MI, Grosse Pointe Park MI, Fraser MI, Dearborn MI, Detroit MI, Bloomfield Hills MI, Shelby Twp MI, Washington Twp MI, Mount Clemens MI, Chesterfield MI, Romeo MI, Almont MI, Clinton Township MI, Clawson MI, Algonac MI, Port Huron MI, Armada MI, Holly MI, Clarkston MI, Davison MI

586.221.0650 Directions Contact/Schedule

New Patient Forms

New patients, please download and Complete the appropriate forms prior to your first appointment.

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