Your First Visit

An Initial Consultation

The initial consultation lasts between 1.5-1.75 hours. Prior to your visit, you will need to complete a medical history form and to sign an informed consent form, which you can bring with you to your appointment or email to During your first visit, we will discuss your goals for the treatment, as well as more details about your individual concerns. We will also discuss strategies to maximize healing and maintain health, including food choices and preparation, lifestyle, and qi gong. You will also receive an individualized herbal formula(s), based on this initial consultation process.

Follow-up Visits
A very important part of the process of working with an herbalist is ongoing monitoring and support to allow for adjustments in herbal formulas, as well as to continue and to deepen individual focus on food, lifestyle, and qi gong strategies. Herbal formulas are adjusted as needed to respond to improvements and changes in health, as well as to address any new concerns that arise. Follow-up visits can be an important source of support, not only to help you track your progress toward your health goals, but also in gaining new resources (such as qi gong) that can help you meet them. 

Follow-up sessions last anywhere from 30 minutes to 1.5 hours, depending on each individual's goals and needs. You can expect to return for a follow-up visit within 2-4 weeks following your initial visit. It is possible that after this initial follow-up, you may only need to check-in to get more herbs and not return for a follow-up visit in several months, depending on the individual situation. For more chronic or serious issues, follow-up visits may happen once a month. 

Combining Chinese Herbs and Acupuncture
Individuals who would like to combine Chinese herbal medicine and acupuncture, can schedule an initial consultation with Michele to assess their Chinese differential diagnosis, obtain an individualized herbal formula, and receive recommendations regarding food, lifestyle and qi gong. Andres Vergara, M.Ac., L.Ac., who is an acupuncturist trained in both five element acupuncture and traditional Chinese medicine will work in conjunction with Michele to design and provide a complementary acupuncture treatment strategy. Michele and Andres practice together at 4 Branches Chinese Medicine Center