If you would like to make an appointment with me, please fill out this form or send me an email. Please remember that even with reasonable security measures, it cannot be guaranteed as entirely private and confidential. You can also call me at 206-906-9013. Many times, I am with the patient and not able to answer the call. Please leave a voicemail including your name, a brief reason for consult, phone number, and the best time to call back.
Before your first visit, please do the following:
1. Prior to our first appointment, I'll e-mail you the registration forms for you to fill out. You can also download the forms by clicking the links below. Print out the following three forms and complete or sign them as indicated. Bring them with you to the visit. Please make sure to review the Practice Information and Policies before signing it. If you have any questions, feel free to contact me.
Patient Registration Form (2 pages)
Practice Information and Policies Disclosure (1 page)
Notice of Privacy Practices and Policies (3 pages)
If you intend to use an email for communication, Email Consent Form (2 pages)
2. Check the driving directions to my office. My office is located in Northeast Seattle, on 125th NE street, one mile east of I-5 and two blocks west of Lake City Way). Plenty of free parking space is available in the back. My office (Suite 245) is on the second floor of the southwest wing and has a private waiting room.
3. If you currently take any prescription medications, please bring a detailed list with you, with names and dosages. You may also bring the medication bottles themselves, if this is easier.
4. If you will be asking me to bill insurance for the visit, please bring your insurance card. If you will be paying me directly, please bring payment for the first session.
5. Once you arrive, please have a seat in the private waiting room. I will come and find you at our appointment time.
Before your first visit, please do the following:
1. Prior to our first appointment, I'll e-mail you the registration forms for you to fill out. You can also download the forms by clicking the links below. Print out the following three forms and complete or sign them as indicated. Bring them with you to the visit. Please make sure to review the Practice Information and Policies before signing it. If you have any questions, feel free to contact me.
Patient Registration Form (2 pages)
Practice Information and Policies Disclosure (1 page)
Notice of Privacy Practices and Policies (3 pages)
If you intend to use an email for communication, Email Consent Form (2 pages)
2. Check the driving directions to my office. My office is located in Northeast Seattle, on 125th NE street, one mile east of I-5 and two blocks west of Lake City Way). Plenty of free parking space is available in the back. My office (Suite 245) is on the second floor of the southwest wing and has a private waiting room.
3. If you currently take any prescription medications, please bring a detailed list with you, with names and dosages. You may also bring the medication bottles themselves, if this is easier.
4. If you will be asking me to bill insurance for the visit, please bring your insurance card. If you will be paying me directly, please bring payment for the first session.
5. Once you arrive, please have a seat in the private waiting room. I will come and find you at our appointment time.