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COVID-19 Information



Northwest Medical Specialties agrees with the FDA’s position on Ivermectin use and does not believe Ivermectin should be routinely prescribed for the treatment or prevention of COVID-19 based on the evidence to date. Therefore we will not be prescribing Ivermectin at this time. We will continue to monitor the results of studies currently being done to evaluate Ivermectin’s effectiveness as it relates to COVID-19.  We strongly discourage patients from seeking alternative veterinary sources of Ivermectin for self-treatment. 


Per the Centers for Disease Control and Prevention (CDC) contraindications to COVID-19 vaccinations are:

  • Known allergy to COVID-19 vaccine ingredients
  • Previous anaphylactic reaction to a COVID-19 vaccine or its ingredients

Northwest Medical Specialties is unable to provide letters of medical exemption for COVID-19 vaccination without documentation of one of these contraindications


During these difficult times we are making every effort to keep our patients and staff safe from COVID-19, we appreciate your patience and understanding with the current changes you may have seen within our practice.

We strive to protect our patients and staff as much as we possibly can from any exposure on our premises. NWMS has implemented a Designated Visitor Policy that allows patients to have a single, designated visitor to accompany them to appointments with the provider:


· Patients may designate a fully vaccinated family member, friend, or companion as their visitor.

· Fully vaccinated, as defined by the CDC, is considered completion of primary series and one booster when eligible.

· Proof of vaccination is required in order to be approved as a designated visitor.

· Patients may only have one designated visitor. However, a patient may change their designated visitor if necessary.


The patient and their designated visitor must still abide by the NWMS masking policy to wear an NWMS provided mask over their mouth and nose during their time on our premises. This is to protect our vulnerable patients from the unforeseen possibility of exposure to COVID-19 which can be transmitted through aerosol droplets. Sadly, we have had patients that have died from the complications of COVID-19, which is both devastating and preventable. It is also important to note that Designated Visitor status may be revoked if the visitor disregards NWMS policies which include masking protocols, clinic etiquette, etc.


We will continue to offer a virtual option for additional family, friends, and companions to participate in the care of our patients through Zoom. Our staff will assist you with every step of the login process and invite you to participate in real time from your vehicle or designated safe space in our building. Please contact us at 253-428-8700 to set this up.

Because this information is always changing, we will be monitoring all updated information from the World Health Organization and Centers for Disease Control.


Sibel Blau, MD presents important information for immunocompromised patients regarding COVID-19, the delta variant and the COVID-19 vaccine:


IMPORTANT VACCINE UPDATE: We now have the ability to offer a third vaccine to our patients that meet the current CDC criteria. Contact our clinic at 253-428-8700 to schedule your vaccine.

Who needs to get a third vaccine shot?
According to the CDC, People 18 years and older should receive a booster shot.


When should I get my third shot?

The CDC recommends getting your booster at  least 6 months after your second shot.

People with moderately to severely compromised immune systems receive an additional dose of mRNA COVID-19 vaccine at least 28 days after a second dose of the Pfizer or Moderna vaccine.

People 18 years and older should receive a booster shot at least 2 months after receiving their Johnson & Johnson/Janssen COVID-19 vaccine.


Who needs to get a booster shot?
Everyone who got the Pfizer, Moderna, or Johnson and Johnson Vaccines.

The CDC has confirmed that these COVID-19 vaccines weaken over time, like many other vaccines, so if you got fully vaccinated, you will need to get a booster shot to make sure you continue to be fully vaccinated.

Health leaders expect that people who got the Johnson & Johnson vaccine will need booster shots, but they are awaiting further data before making a decision.


Additional info can be found here:

This website can help you find a vaccine providers in WA state:

If you received your vaccine already, its important that you let your provider know. Please also bring a copy of your vaccination card with you to your appointment.


Do I need to wear a mask and avoid close contact with others if I have gotten 2 doses of the vaccine?

Yes. Not enough information is currently available to say if or when CDC will stop recommending that people wear masks and avoid close contact with others to help prevent the spread of the virus that causes COVID-19.

Experts need to understand more about the protection that COVID-19 vaccines provide in real-world conditions before making that decision. Other factors, including how many people get vaccinated and how the virus is spreading in communities, will also affect this decision. We also don’t yet know whether getting a COVID-19 vaccine will prevent you from spreading the virus that causes COVID-19 to other people, even if you don’t get sick yourself. CDC will continue to update this page as we learn more.

While experts learn more about the protection that COVID-19 vaccines provide under real-life conditions, it will be important for everyone to continue using all the tools available to help stop this pandemic.

To protect yourself and others, follow these recommendations:

  • Wear a mask over your nose and mouth
  • Stay at least 6 feet away from others
  • Avoid crowds
  • Avoid poorly ventilated spaces
  • Wash your hands often

Together, COVID-19 vaccination and following CDC’s recommendations for how to protect yourself and others will offer the best protection from getting and spreading COVID-19.

Current COVID-19 Information:


Message to our patients from Dr. Frank Senecal:


Here are a few additional resources:

World Health Organization

Centers for Disease Control


If you are experiencing cold or flu symptoms, please make sure to contact us via phone prior to your appointment. You may also contact us for any additional questions by calling our office at (253) 428-8700.