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
Review us on Google
Follow Us!
Testimonials

“I have been seeing Emily for several years. Her acupuncture treatments have helped my sinus issues and overall relaxation. She is very knowledgeable, kind and accommodating. I highly recommend her to everyone.”-G.S.
“Emily is very professional and knowledgeable in the field of acupuncture. I cannot thank her enough for the relief of pain she has given me.”-D.M.
“I’ve had a few treatments with Emily and had physical issues corrected. She is extremely knowledgeable in, not just acupuncture, but also the physical body and traditional plant medicine that goes hand in hand with your treatments. TCM and Emily have a very welcoming and loving energy and I highly recommend seeing her.”-H.P. “QUICKLY becoming the highlight of my week! I look forward to my next acupuncture treatment the second it ends. Great way to get centered & balanced.”-B.G.
“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
... Read more »
“I have been seeing Emily for back pain due to degenerating discs for about a year now. The pain has been helped substantially. Emily is very knowledgeable in her techniques and her office is relaxing and clean! Highly recommend her!” -K.M.
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.

Follow Us!