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Patient Forms

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    SPECIALTIES

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All Patient Forms

Important Note

Make sure to download and save the forms before you fill them out. Once you have completed the necessary forms, please submit via email to info@drsusanmarra.com.


Mandatory New Patient Forms

All new patients are required to complete these forms prior to their first appointment. 

Download New Patient Form PDF Here

Medical Release Consent Form

Download Medical Release Consent Form

Office Guidelines Form

Please arrive on time for your appointment with all paperwork fully completed before coming to the office. This helps ensure fairness to other patients who may be traveling long distances or catching flights, as well as to Dr. Marra. Everyone’s time is valuable, and we appreciate your consideration. Being mindful of the needs of others is a core principle of this office.

Download office guidelines form

Informed Consent Form

Download Informed Consent form

Financial Responsibility Form

We require this form to be fully completed and signed by all patients prior to their initial consultation. We greatly appreciate your cooperation, as this is a fee-for-service medical specialty practice.

Download Financial responsibility form

Arbitration Form

Physician–patient arbitration agreement

Download arbitration form

HIPPA Consent Notice of Privacy Practices

This notice describes how health information about you may be used and disclosed, and how you can obtain access to this information. Please review this document carefully.

Download HIPPA Notice

INFORMED CONSENT FOR TELEMEDICINE SERVICES

Telemedicine involves the use of electronic communications to enable healthcare providers at different locations to share individual patient medical information for the purpose of improving patient care.

Telemedicine informed consent form


Questions? Contact us!

Please download, fill out, and submit forms to: info@drsusanmarra.com

If you have any questions, please don’t hesitate to contact us. You can reach our office by phone: (206) 299-2676.


About Dr Marra

A smiling woman in a red plaid vest sits by a tree on autumn leaves, holding two French Bulldogs—one wearing a red sweater, the other a green one. contact us

“Empathy and compassion coupled with intuition, commitment and an intention for a holistic treatment plan, are the ingredients of a healer to transform sickness into health and cultivate elevated and sustained wellness.” SLM

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Why Authentic Clinical Excellence in Medical Matters for Lyme Disease and Mycotoxin Illness Treatment


Why Authentic Clinical Excellence in Medical Matters for Lyme Disease and Mycotoxin Illness Treatment

When it comes to managing complex chronic conditions like Lyme disease or mycotoxin illness, it’s crucial to seek out clinicians who demonstrate authentic excellence in their field. Unfortunately, many individuals end up with inadequate care because anyone can claim to treat Lyme disease without necessarily having the knowledge or expertise to do so effectively.

As a doctor who has been in the field for over 32 years, I have seen the fallout of this all too often. Patients who are misdiagnosed can receive improper treatment simply because their doctor doesn’t have the experience to accurately interpret diagnostic tests. For example, one common mistake I see is clinicians who misinterpret a Lyme Disease Western blot. Some mistakenly believe that Band 41 is an indication of a positive Lyme test result, but this is NOT the case. Band 41 is nonspecific and does not confirm Lyme disease.

What to Look for When Choosing a Trusted Lyme or Mycotoxin Illness Specialist

If you’re seeking clinical excellent-quality treatment for Lyme disease or mycotoxin illness, I strongly recommend doing your due diligence before selecting a provider. Make sure to choose a clinician with a proven track record of success in treating these conditions. Ideally, the doctor you select should have at least 10-15 years of experience in the field of chronic infections, Lyme disease, and mycotoxin illness.

An experienced doctor will be able to:

  • Accurately interpret Lyme disease diagnostic tests, including Western blots.
  • Understand the complexity of chronic Lyme and mycotoxin-related illness.
  • Provide an evidence-based, personalized treatment approach.

Why Dr. Susan Marra is a Great Choice for Treating Lyme Disease and Mycotoxin Illness

If you’re looking for a clinically excellent, experienced, compassionate, and skilled clinician to guide you through the complexities of Lyme disease or mycotoxin illness, Dr. Susan Marra is the right choice. With over 32 years of experience in the healthcare industry, she specializes in the treatment of chronic, hard-to-diagnose conditions, including Lyme Disease, Morgellon disease, and mycotoxin illness.

Dr. Marra’s approach is rooted in a deep understanding of the immune system, chronic infections, and holistic care. She is committed to personalized, patient-centered treatment plans designed to address the underlying causes of your illness and not just the symptoms.

Dr. Marra’s expertise in interpreting Lyme disease tests and her holistic treatment protocols give her patients the best chance at healing and regaining their quality of life. Hear from our satisfied patients now!
If you’re ready to take the next step in addressing Lyme disease or mycotoxin illness, contact Dr. Marra today to learn more about how she can help. You can contact us online or call 206-299-2676.

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Disclaimer

WEBSITE DISCLAIMER: THIS WEBSITE DOES NOT PROVIDE MEDICAL ADVICE

The information, including but not limited to, text, graphics, images and other material contained on this website are for informational purposes only. The purpose of this website is to promote broad consumer understanding and knowledge of various health and resiliency topics. It is not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have read on this website.

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Contact

  • Sunlight filters through tall, straight pine trees in a dense forest. The ground is covered in green moss, small bushes, and patches of orange and yellow foliage, creating a peaceful natural scene.

    SPECIALTIES

  • A clear lake reflects snow-capped mountains and bright green hills under a blue sky with scattered clouds.

  • A colorful garden bed with blooming flowers in shades of pink, purple, yellow, orange, red, and white, surrounded by green foliage and grass.

Contact Us

Appointments

We are currently offering telemedicine and in person appointments.

Office Hours

Monday | Tuesday | Thursday | Friday
9:00am – 5:00pm

Virtual Check In

www.doxy.me/drsusanmarra

Address

17791 Fjord Drive NE, Suite 130
Poulsbo, WA. 98370

Phone

(206) 299-2676

Fax

(206) 522-7410

Forms

To fill out mandatory new patient forms or returning patient forms, visit our forms page. Please submit all necessary forms to info@drsusanmarra.com

A smiling woman in a red plaid vest sits by a tree on autumn leaves, holding two French Bulldogs—one wearing a red sweater, the other a green one. contact us

“Empathy and compassion coupled with intuition, commitment and an intention for a holistic treatment plan, are the ingredients of a healer to transform sickness into health and cultivate elevated and sustained wellness.” SLM


  • 47.72459916431361,-122.63963961659056

    The office of Dr Susan L. Marra

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    Poulsbo Inn & Suites

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    Seattle-Tacoma International Airport

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