New and prospective patients should call me before scheduling an appointment at (206) 322-4416. You can email me at marian.small@icloud.com.

First office visits are approximately 1 1/4 hours and are $195. Return visits are 45 minutes and are $145.  I take checks or cash and do not bill insurance companies. I do provide you with a superbill that you can in turn submit to your insurance for possible reimbursement.

If you need to change your appointment I require 24 hours notice or a fee of $50.00 dollars is charged. Missed appointments require the full cost of the office visit.