When you are signed up as a patient, you will have unlimited access to your own health record and the ability to communicate with me in a totally secure and confidential way. This will allow us to address all non-emergent aspects about your health, including lab tests, radiology tests, and specialist recommendations. To access your health record, click here. You need to be "invited" to join your Patient Passport in order to use this link.
For patients who enrolled before Fall 2019: This is a copy of the letter describing the 2020 fees and services
For true emergencies, DO NOT log in to your electronic health record or call me. If you really think you might be experiencing a life-threatening emergency, the right answer is always to call 911 or go to the nearest Emergency Department. Once you are on your way to the ER or are already there, please alert me so I will know what's happening with you! Whenever possible, I can talk to the ER doctors and staff to share important medical information about you if it will help improve the care you are getting.
For all non-urgent communication about your health, and to schedule appointments, please log in to patient portal of your electronic health record, also known as the Patient Passport, and I will get back to you, likely within 1 day or less. Alternatively, you can text me or leave a voicemail at (306) 406-5220. Please DO NOT email me for health-related concerns. The volume of emails I receive each day prevents me from responding to emails in a timely manner.
For any urgent questions, please call (360) 406-5220 and press "1" to leave an urgent message. I check voicemails and all other communication at 9 AM on weekdays and typically respond to urgent messages within 3 hours. For active patients, I offer confidential text messaging at the same number, which you can access through the Spruce app on your smart phone. For those without a smart phone, you can still text message me at that 360-406-5220 number; it would be like sending any other text message and is therefore not considered HIPAA-compliant in terms of privacy laws.
All calls and text messages do get forwarded directly to my personal cell phone so that I can be as accessible as possible. I turn all text alerts off at night but have my ringer always on. Please avoid calling at night or early in the morning unless it is urgent. I will check emails, electronic health record communication, voicemails and texts at 9 AM weekdays.
Rarely, I will be out of cell range. If I am out of range for a weekend, I will make this clear on my voicemail. If I am ever to be out of cell range for longer than a weekend or during business days, I will notify my practice ahead of time by email and try to attend to anything that needs to be addressed before I leave or promptly when I return. For urgent matters that cannot wait until I return, I do recommend our local urgent care facilities:
Your first visit, whether I have cared for you previously or not, is typically between 60 and 75 minutes long. We will review the Patient Agreement (required by the State of Washington and included in the enrollment website) if we haven't already done so. We will review your New Patient History Form, which I ask you to please fill out before your visit and bring with you. We will start to set up a plan together for what the priorities are in your health and schedule visits, phone calls, etc. accordingly.
Your follow up visits are typically 30-45 minutes long. If an issue is very simple and straightforward, particularly once we know each other, certain problems or questions can often be addressed in less than 30 minutes. My main goal is that we have ample time to address each issue thoroughly as it comes up. In the long run, that approach will be a better use of everyone's time.
When you arrive, typically there is someone working at the front desk. While these people will let me know you are here, they don't work for me or schedule our appointments. My goal is to be ready when you arrive so you don't have to wait.
When you leave, you will have a summary of our visit that you can view on your Patient Passport. If you do not have access to a computer with internet, I can print this for you at the end of your visit.
To schedule visits, please contact me through your Patient Passport. You can also text or leave a voicemail.