Please complete the appropriate form(s) below for your New Patient Appointment.
The Intake links will direct you to our HIPAA compliant email/secure web form which can be completed online.
You will receive a call within 1-2 business days from our Front Desk to schedule your first appointment.
Check Ins are scheduled 15 minutes prior to your appointment time so Front Desk can collect your insurance information and have all clinic policy forms completed.
Return patients arriving more than 10 minutes late to their appointment may have to be rescheduled.
We are a perfume free facility.
All minors under 18 years must accompany guardians during appointments.
Previous records will be looked at during or after the first appointment.
Please Choose Applicable Form Below
13 Years and Older
12 Years and Younger
In Addition Please Complete these Two Forms
Thank you for your interest in scheduling with one of our doctors here at North Seattle Natural Medicine.
We ask that you please verify the above information through your insurance provider prior to your visit.
Please follow the checklist below:
Verify your insurance benefits with instructions via the link above.
Be sure to verify coverage using the doctor's name and NPI and follow the Questions to Ask Insurance guide.
Lookup our office location before heading over. Please confirm the address: 617 5th Avenue South, Edmonds WA 98020.
Please see below for parking instructions and important clinic policies.
Arrive at the time of Check In (15 minutes prior to your scheduled appointment time) with:
Your photo ID
Your Insurance card
A method of payment for copays, deductibles and/or supplements you may wish to purchase.
What to Expect at the visit?
During your first appointment a thorough health history will be taken and an appropriate physical exam and pertinent labs may also be performed. Bringing in any health information such as medical records and a complete list of your medications and vitamins/herbs is very helpful.
We have plenty of parking on the level of the clinic which is accessible via Hemlock Way just East of 5th Ave S. Please park in the designated NSNM parking only spots. The spots down at street level just off 5th Ave S belong to the dentists downstairs and we want to be good neighbors and respect their spots.
We do not advise bringing minor children to your appointment, but understand this may be sometimes be necessary.
Minors under 14 years of age must accompany their guardian during the appointment. Please only bring them if you feel confident they will not disrupt or distract from your time with the doctor.
Fragrance and Perfume Policy:
North Seattle Natural Medicine we strive to have a fragrance-free facility due to potential allergies of other patients and doctors. Please avoid wearing perfume/cologne/strong scents to keep our facility free from allergens.
Financial and missed/cancelled appointment policy: