Consent to Receive Care for Minors 13-17 years old - TO BE COMPLETED BY PATIENT
As our patient you can expect:
- To be treated with respect, consideration and meet your individual needs.
- That your patient information to be kept confidential unless specifically requested or indicated otherwise by law.
- To receive care in a setting that does not practice any discrimination.
- To be an active participant in your care, including receiving information about your condition and options for treatment.
Dr. Sastry can be reached by leaving a message with a staff member or on voicemail at (206) 524-5656 during regular office hours. It may take up to 48 hours to receive a response. Dr. Sastry DOES NOT communicate over email or social media.
If you are having an emergency please call the crisis line at 866-427-4747.
Appointments: Dr. Sastry reserves your appointment time for you. You also agree to be there on time and complete all forms before your appointment. There is a $75 late cancellation/no show/late cancel fee charged directly to the person with financial responsibility.