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 or email her by clicking here.

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.

Once you have a confirmed appointment, please gather and return the following in advance of 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.

» 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.

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

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

» 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.

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

Your medical information is always treated with complete confidentiality.


At your consultation, we allocate 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 consultation visit.


Following our consultation, 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 we believe will be useful to you.

After you receive your notes, Louise may contact you to see if you have any questions about them and to discuss if or when a follow-up appointment might be suggested.

Initial consultation: $500
Payment is due at the time of your visit. We accept cash, checks, Visa, MasterCard, and Discover.

Should you have any special financial circumstances, please contact Louise Estupinian prior to your appointment: (415) 485-0484.

Click here for important disclosures and disclaimers.

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.

Please send updates of any medical, personal, or other changes that have occurred since your last visit, such as new blood tests, reports, or other significant events. Please also include a current inventory of any supplements you may still have.

Follow-up consultation or seasonal review, either in person, by phone, or via email: $400
Payment is due at the time of your visit.

If your treatment plan or circumstances have changed, many patients find that it is convenient to request reviews or changes to existing protocols via email. 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 ext 1 before requesting a protocol change or review.

Should you have any special financial circumstances, please contact Louise Estupinian prior to your appointment: (415) 485-0484.


How do I make an appointment?
Please call Louise Esupinian at (415) 485-0484 x 1 or click here to send an appointment request via email.

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.

How do I order herbs and supplements?
Visit our website or call (415) 485-0484 x 2. For the fastest service, please place your order through our website.

How do I order the “Custom Chinese Formula”?
On our website, select “Custom Chinese Formula” from the right hand column (under “Top Items”). Select the version that comes in the red box.

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 with any questions or concerns.