Patients are seen for the diagnosis and treatment of asthma, inhalant allergies and food reactions, hay fever, chronic ear and sinus problems, immune disorders and recurrent infections, occupational and environmental reactions, eczema and hives.

Please bring your insurance card to every appointment.

New Patient Appointments

You will be arranging your first visit with one of our patient service representatives to schedule your appointment.   They will ask you for some essential information, such as complete address and contact information, as well as your insurance company and plan type.  There are some important forms that you will need to complete to help our staff get your information ready for the doctor and for the doctor to have as complete medical information as possible.  For your convenience, these forms are available for download here. Some insurance plans require a referral from your Primary Care Physician(PCP) and/or your insurance company.  You can find a list of insurances that require a referral here. While we try to know as much about the different plans as possible, it is very important for the patient to also know the coverage offered by their insurance plan.

Please allow up to 1 1/2- 2 hours for this appointment.  Make sure to stop any antihistamines 3 days prior to your appointment- but do not stop any asthma medications (including prednisone/medrol and inhalers) or any other important medications.  If you have any questions about which medications to stop, call the office.

Upon arrival at our office, you will be greeted by our patient service representatives.  They will confirm that the information we collected previously over the phone is still correct, scan your insurance and identification cards, collect your co-pay or payment on account, if applicable and gather the forms you’ve completed ahead of time.  They will then take your picture for your chart.  We utilize electronic medical records and your picture is another way that the physician and staff can identify you.  No matter which office you are seen in or what time of the day we talk to you, the doctor will be able to pull up your complete records.

Once you have completed this step, our well trained staff of medial assistants, licensed nurses and respiratory therapists will gather your vital statistics, confirm any drug allergies, get a list of the medications you are currently taking and record the main reason you are coming to see us.  Often, baseline lung function testing is done during this phase of the visit, depending on your condition.

Your physician will sit down with you, so that they can get to know more about your medical, surgical and environmental history as it relates to the reason for your visit.  He or she will ask questions and listen to your responses to ensure that they have a good understanding of what you are experiencing.  The physician will then do a brief physical examination focusing on those areas that are affected.

In many cases, skin testing will follow this portion of the visit.  Skin testing is either done on the arms or the back.  A tiny amount of the allergens your doctor determines are suspect irritants will be placed on the skin and the top layer “scratched” to allow a very small amount of the allergen to leak in under your skin.  This is a relatively painless procedure that is easily tolerated by young and old alike.  It can take up to 15 minutes for the results to fully appear.  The results are recorded and a copy provided to you.

In some cases, testing using an intra-dermal method may also be needed.  Venom skin testing and penicillin skin testing use this method.  This can be ordered for patients who are interested in allergy shots.

Blood testing can provide yet another avenue for you and your physician to determine exactly what may be triggering your health concern.

You may also be referred to an outside facility for testing (i.e. CT scan, blood work).  If you are referred to a facility outside NAAC, you will be receiving a statement from that facility for this testing.  Also, it is important to understand that your insurance may require an additional or separate referral whenever an outside facility is utilized.  Please contact your insurance plan for additional information.

Once we have some answers, you will want to learn more. Our medical staff will take the time to review your results, instruct you on steps you can take to decrease or avoid exposure and treat your symptoms.  A care plan of action will be part of your information.  Along with verbal information we will provide you printed materials that you can take and use a reference or resource as we continue to treat your health concerns.  As our patient it is important that you view us as a resource for any ongoing medical questions or issues.

Follow Up Care

Many conditions require ongoing physician care, especially if we are prescribing medication.  Upon completion of your first visit, you will be advised of any ongoing appointment needs. The frequency of visits can vary from 1-4 office visits per year. A minimum of a yearly recheck is recommended to evaluate any changes in the course of your disease, or treatment, and to renew medications. Authorization for prescription medications are valid for only 1 year by Washington State Law.

Questions or Concerns

We continue to serve you via our telephone nurse line.  Through this service you can ask questions, seek phone care, review and renew your medications, get messages to your physician, and access our experienced and knowledgeable nursing phone team.  They can serve as a link between visits with your physician, medical information and provide direction with on going health concerns. Our nursing team strives for prompt service.  Calls are sorted based on urgency of conditions. Urgent medical calls are returned usually within the hour.  We strive for same day call backs on all messages and prescription refills within 48 to 72 hours of the notice from you or your pharmacy.  General questions and appointment requests can be sent to our website also.  We can not send specific private health information over our website at this time.  Your message is sent to the appropriate office staff to contact you by phone,  We have a physician on call 24 hours a day.

Urgent problems, emergency care

If you have an acute medical problem, we can arrange to see you on short notice during our regular clinic hours. We also have Saturday morning clinic hours in Seattle. If you have an urgent problem after hours, you should call the main office number: (206) 527-1200. A physician is always available on call to respond to your urgent problems.  In some cases we may advise you to seek care from an emergency department or after hours clinic.  A call to us should not replace a call to 911 for truly life threatening emergency conditions.