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The Evergreen Center for Integrative Medicine

2008 NE 65th St. Seattle 98115 · (206) 729-0907

New Patient Information

Forms

Before you come in for your first appointment, please print these forms and fill them out. Having them filled out in advance will help expedite your visit. You should have two forms — the New Patient Information Form (either Adults or Minors), and the ECIM Office Policies form.

Click on the links below to download the correct form.

New Patient Forms

New Patient Information Form – Adults
New Patient Information Form – Minors

ECIM Financial Policy

ECIM Financial Policy

Patient Rights / HIPAA

Your information. Your Rights. Our Responsibility.

New patients:
Please print both the intake AND the financial policy form and bring them to your appointment.

About the First Visit

Your initial visit is typically 60 minutes, but that may vary depending on your doctor. This gives us time to take your full medical history, do a physical exam if needed and get started with any lab tests.

Sometimes this amount of time isn’t enough to address all your concerns, so you may need to make a follow up appointment if you would like us to address multiple health concerns.

If labs are done, we may ask you to schedule a follow up visit to review the lab results. These follow up visits last 15-45 minutes, depending on the complexity of the results.

Our clinic is scent-free for the comfort of all of our patients. Please refrain from wearing scented products of any kind on the days you come to our clinic.

Get in touch

Evergreen Center
for Integrative Medicine

2008 NE 65th Street
Seattle, WA 98115

Questions?


phone: (206) 729-0907
fax: (206) 729-0199

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Hours

We're open Monday — Friday.

Evergreen Center for Integrative Medicine, Seattle
2008 NE 65th Street
Seattle, WA 98115

phone: (206) 729-0907
fax: (206) 729-0199

Questions? Call us @ phone: (206) 729-0907




"I can't say enough. I'd had some recurring issues—not super serious—but tiresome and really challenging. What I liked most was that my doctor took quick action. In no time, I was on an entirely different diet (still on it two years later) and she uncovered an underlying problem and we tackled that, too. I'm so grateful. "
— Richard P. patient, Seattle

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2008 NE 65th St. Seattle, WA 98115 · (206) 729-0907