Form for New Patients

Please download the new patient form below and either fill out directly and email to or print and mail the completed form to PO Box 2307, Kirkland, WA 98083. 


There are additional forms that must be completed for all NEW patients. Dr. Marti will EMAIL these forms once an appointment is scheduled to the email provided on the appointment form.





New Patient Form
New Patient Questionnaire.rtf
Text document [33.0 KB]