Acupuncture, Herbs, & Supplements since 1982
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Clinical Services

For more than thirty years, we have specialized in creating innovative and integrative treatment programs for complex medical problems, those for which neither an exclusively western nor eastern approach is enough. Specifically, we aim for a truly optimal, comprehensive, no-stone-left-unturned, pull-out-all-the-stops traditional Chinese medical health care.

To request an appointment, please call Louise Estupinian at (415) 485-0484 x 1.

The following information applies only to appointments with Michael Broffman. For other practitioners at Pine Street, please contact us.

Every protocol created is specifically designed for you and so it is helpful to have time to study information about you and your health background prior to your first visit.

The following are examples of the sorts of information that Michael likes to review prior to your visit:

» A list of the things you’re specifically wanting to discuss during your appointment, including questions you may have or decisions you’re needing to make.

» Things you've heard or read about that you want to hear Michael's opinion on. (Examples: "My friend did..." or "I read online about...")

» Details about who you’re currently working with and what treatments you’re currently doing or are planning to do.

» Details about your current diet, weight, exercise regimen, and stress level.

» Biographical information, such as your own personal summary of your health history, including how you’re feeling, what has worked and what has not, and various challenges and successes with your treatment you’ve encountered. Please include any information you think is important or that you feel may have contributed to your current medical situation.

» List of all medications, herbs, supplements, and over the counter pharmaceuticals you are currently or have recently taken. Please include current dosage. 

» A signed copy of our disclosure form.

» Copies of most recent medical records, such as reports from your doctor including those from surgeries, prior treatments (such as chemotherapy or radiation), recent blood tests, X-rays, CAT scans, MRIs, and PET scans. Digital copies on CD are fine (original films are not necessary). If you are seeing (or have recently seen) any complementary or alternative practitioners, their report would also be useful, if available.

Please do not send any medical information until you have a confirmed appointment date and time.


At your consultation, Michael allocates ninety minutes for you so that there will be no hurry or need to rush. This will give you an opportunity for your questions to be answered, documents to be reviewed, and for opinions and analysis to be offered.

You are welcome to bring a family member, companion, or friend along for your visit.


Following your visit, your case will be reviewed and recommendations will be typed up. This will be sent to you by mail, email, or fax.

This typed document often includes a treatment protocol, a list of items to investigate, specialists to contact, follow-up tests to consider, diet recommendations, and other information Michael believes will be useful to you.

Click here for important disclosures and disclaimers.

An initial consultation with Michael Broffman is $500 and payment is due at the time of your visit. We accept cash, checks, Visa, MasterCard, and Discover. This includes the time Michael spends before the appointment reviewing your case, the time during the appointment itself, and the time spent afterwards doing additional research and drafting his report.

Should you have any special financial circumstances, please discuss with Louise Estupinian prior to your appointment.

A follow-up consultation or seasonal review is an opportunity review and discuss your treatment plan, address any concerns or questions you may have, and make adjustments as necessary. Follow-up consultations and seasonal reviews can take place in person at the Clinic or by phone. Follow-up appointments are generally 90-minutes long.

Follow-up consultation or seasonal reviews are $400. Payment is due at the time of your visit. Please call Louise to schedule: (415) 485-0484 x 1.

If your treatment plan or circumstances have changed and want your protocol reviewed or updated, please contact us by phone.

IMPORTANT: Please do not send requests for protocol changes or updates to Michael directly.

The cost for this service is $150 to $300 depending on the amount of time required to make the adjustments. Please call Louise at (415) 485-0484 to discuss and arrange.


How do I make an appointment?
Please call Louise Esupinian at (415) 485-0484.

Do you request records from my health care providers on my behalf?
No, you are responsible for gathering all medical records.

Where do I send my medical records?
After you have a confirmed appointment, we will let you know where to send your records. Please do not send anything until you have a confirmed appointment.

What is your cancellation policy?
We require at least 48-hours notice for any appointment cancellations or changes. Full payment is due for any changes or cancellations made with shorter notice. 

What if I have questions for Michael after my appointment?
Please call (415) 485-0484. Please do not send questions to Michael via email.

How do I order herbs and supplements?
You can place an order through our website or call (415) 485-0484.

How do I order the “Custom Chinese Formula”?
This item can be found on our website here.

When should I make a follow-up appointment?
Any time your treatment plan or health circumstances change is an opportunity to have your protocol reviewed.

What is a “seasonal review”?
Traditional Chinese Medicine at the Pine Street Clinic is organized seasonally. Many patients who have not had any substantial changes in their treatment plan or health circumstances still make an appointment once a quarter to adjust their protocol based on the changing seasons.

Do you accept insurance?
Many plans cover the cost of our services and we can provide a claim form for reimbursement. We are not, however, set up for direct billing.

Have other questions?
Please call (415) 485-0484 or email us.

For appointments with other practitioners, please contact us.