Patient Forms
NOTE: All patients with Medicare must agree to and sign the Medicare Private Contract due to Dr. Marti's opt-out status with Medicare. This contract must be renewed every 2 years. An original signed form must be physically mailed to and kept on file with Dr. Marti. After November 2024, an updated form will be available from Dr. Marti.
Consent for Treatment and General Office Policies [2023]
2023 MARTI OFFICE POLICIES_EVAL CONSENT.[...]
Adobe Acrobat document [1.2 MB]
2023 MARTI OFFICE POLICIES_EVAL CONSENT.[...]
Adobe Acrobat document [1.2 MB]
Informed Consent to Telehealth Services
Informed Consent for TELEHEALTH SERVICES[...]
Adobe Acrobat document [62.7 KB]
Informed Consent for TELEHEALTH SERVICES[...]
Adobe Acrobat document [62.7 KB]
Medicare Private Contract
All patients with Medicare must agree to and sign the Medicare Private Contract due to Dr. Marti's opt-out status with Medicare. This contract must be renewed every 2 years. An original signed form must be physically mailed to and kept on file with Dr. Marti. After November 2024, an updated form will be available from Dr. Marti.
MEDICARE PRIVATE CONTRACT Nov 2022-Nov 2[...]
Adobe Acrobat document [2.6 MB]
All patients with Medicare must agree to and sign the Medicare Private Contract due to Dr. Marti's opt-out status with Medicare. This contract must be renewed every 2 years. An original signed form must be physically mailed to and kept on file with Dr. Marti. After November 2024, an updated form will be available from Dr. Marti.
MEDICARE PRIVATE CONTRACT Nov 2022-Nov 2[...]
Adobe Acrobat document [2.6 MB]
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Dr. Laurie A. Marti, MD, PLLC
Phone: (425) 232-1965
Fax: (425) 463-4267
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