Office Visits: Fremont

Click here to schedule an appointment

3417 Evanston Ave N
Seattle, WA 98103


Download Forms for your first visit

1. Review these forms, sign, and bring with you for your visit: Consent form, Notice of Privacy Practices, Notification of Scope of Practice

Download Consent/Privacy/Notification Forms

2. Fill out an intake form for yourself or your child, and bring it with you for your visit.

Download Adult Intake Form

Download Pediatric Intake Form


Samara White, LAc / EAMP, LMT

Seattle, WA

Phone: (206) 395-9796