Dr. Marty Ross, MD
Advanced Treatments for Lyme Disease, Chronic Fatigue Syndrome, Fibromyalgia, and Complex Illnesses

New Patient Information

Patient Intake
All patients need to go through patient intake. Please contact the clinic at 800-470-7217.

Clinic Forms
The following paperwork is required and should be brought to your initial visit as directed by our doctors or staff. Print the forms and complete them prior to your visit. You do not need to mail the completed forms in, please bring them to your first visit.

Office Intake Questionnaire
Office Policies form
Patient Clinical Questionnaire
Informed Consent for Treatment of Lyme disease
Notice of Privacy Practices
Release of Information

Medicare Opt Out form

Contact The Healing Arts Partnership if you have any questions about the forms

Medical Records to Bring to Your Appointment
Reports for any diagnostic imaging including CT scans, PET scans, MRI's, X-rays, Ultrasounds, etc. We do not need the actual film, just the reports.
Copies of all blood work.
Copies of summary reports from any specialists you have visited for evaluations.

Medicare
Dr. Ross is opted out of Medicare. If you are on Medicare you will need to sign a contract that Medicare requires you to sign. We will provide you with that contract. Please note that it is illegal for you to bill Medicare for charges from this clinic as we are opted out and do not participate in the Medicare system.

Insurance
Practitioners in the clinic do not take medical insurance. Payment is due at the time of service.

First Appointment Deposit
There is a $200.00 deposit to schedule an initial appointment of one hour or longer. If a patient needs to change or cancel their appointment, they need to give the office 2 business days notice. This means if the appointment is on Friday, the patient would need to call by Tuesday night to have their deposit refunded. This would give us two full days to fill that appointment.

Fragrance Free Environment
Please note there is a NO SCENT/FRAGRANCE policy at the clinic. Please refrain from wearing any colognes or perfumes. When you visit the clinic please refrain from using any scented hair products, laundry products, soaps, oils or lotions.

Parking
Parking is available under the building in the spaces labeled 'Highline Medical Parking Only (24 Hours)'.  Take the elevator to the first floor.

We look forward to your next visit and look forward to the opportunity to serve you.



 

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The Healing Arts Partnership
511 2nd Ave W, Seattle, WA 98119
Phone: 800-470-7217         E-mail:

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