31350 Telegraph Rd, Suite 102, Bingham Farms, MI 48025

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Patient Forms & Resources

By completing the following forms below and sending them 3-4 business days prior to your appointment, you will save significant time at your scheduled visit. If you have any questions when filling out these forms, please do the best you can, and our staff will be happy to help you with any questions you may have.

For those who are “computer savvy,” the following Microsoft Word® .doc forms can be downloaded to your computer, filled out, saved, and then emailed. This is the preferred route. If this is not an option, please print out the Adobe® PDF format, fill it out, and fax it to (248) 594-9493.

Welcome Form

Disclosure Statement and Informed Consent Form

Please complete the appropriate forms that relate to your upcoming appointment:

Adult Intake Form

Child Intake Form

BioCharger Intake Form

Infrared Body Wrap Intake Form

Adult Intake Form

Child Intake Form

BioCharger Intake Form

Infrared Body Wrap Intake Form

Environmental Toxic Exposure Form

Environmental Toxic Exposure Form

Note: Some of the above files are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.

What Our Patients Say About Their Healing Journey

“Dr Cutler is simply wonderful. He has done more for my overall health than any doctor I've ever seen. He not only gives you a plan to help you to better health, he educates you so you recognize the start of issues so you can address them before they become bigger problems. I've never felt so healthy!”

- April C.

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The information and services offered go hand and hand with my family goals. Dr Cutler listens and because he is all about preventing vs just medicating it lets us know we went to the right place.

- Gail M.

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Dr. Cutler has done an amazing job at helping me with a medical condition and helping me to find relief. He is very personable and open minded, give him a visit for sure!

- Maggie H.

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Cutler Integrative Medicine blends naturopathic and conventional care to treat the root causes of illness. Through personalized wellness plans, advanced diagnostics, and holistic therapies,

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Serving Birmingham, West Bloomfield, Troy, Oakland County, and The greater Detroit area.

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