Request Your Appointment 1Patient Information2Appointment Setup3Confirmation Your Name* First Last Date of Birth*MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Email* Mobile Phone Number*This is only used to confirm your appointment and send reminders.Health InsuranceWe accept most insurance. Enter your insurance (optional) Please Select Your Health InsurancePlease note we do NOT accept Medicare or Medicaid. Premera Blue Cross Blue Shield Regence United Healthcare Aetna Lifewise First Choice Kaiser Permanent Group ID Member ID Appointment Location*Seattle Clinic Hours: Mondays (7am to 11am) and Wednesdays (7am to 2pm)Kirkland Clinic Hours: Mondays (1pm to 3pm), Tuesdays (7am to 3pm), Thursdays (7am to 3pm), and Fridays (8am to 3pm)Federal Way Clinic Hours: Mondays, Tuesdays, and Wednesdays (7:30am to 2pm)NOTE If you need assistance with scheduling please call (206) 960-4770, select option 1 ALERT We only accept new patients who reside in Washington, currently. Kirkland Federal Way Seattle Appointment Date Requested* MM slash DD slash YYYY Appointment Date Requested* MM slash DD slash YYYY Appointment Date Requested* MM slash DD slash YYYY Appointment Time RequestedThe following appointment times are generally available but our staff will call you to confirm your appointment after your request has been submitted. 7:00AM 7:30AM 8:00AM 8:30AM 9:00AM 9:30AM 10:00AM 10:30AM Appointment Time RequestedThe following appointment times are generally available but our staff will call you to confirm your appointment after your request has been submitted. 7:30AM 8:00AM 8:30AM 9:00AM 9:30AM 10:00AM 10:30AM 11:00AM 11:30AM 12:00PM 12:30PM 1:00PM 1:30PM 2:00PM Appointment Time RequestedThe following appointment times are generally available but our staff will call you to confirm your appointment after your request has been submitted. 7:30AM 8:00AM 8:30AM 9:00AM 9:30AM 10:00AM 10:30AM 11:00AM 11:30AM 12:00PM 12:30PM 1:00PM 1:30PM 2:00PM Appointment Time RequestedThe following appointment times are generally available but our staff will call you to confirm your appointment after your request has been submitted. 7:30AM 8:00AM 8:30AM 9:00AM 9:30AM 10:00AM 10:30AM 11:00AM 11:30AM 12:00PM 12:30PM 1:00PM 1:30PM 2:00PM Appointment Time RequestedThe following appointment times are generally available but our staff will call you to confirm your appointment after your request has been submitted. 7:00AM 7:30AM 8:00AM 8:30AM 9:00AM 9:30AM 10:00AM 10:30AM 11:00AM 1:00PM 1:30PM 2:00PM Appointment Time RequestedThe following appointment times are generally available but our staff will call you to confirm your appointment after your request has been submitted. 1:00PM 1:30PM 2:00PM Appointment Time RequestedThe following appointment times are generally available but our staff will call you to confirm your appointment after your request has been submitted. 1:00PM 1:30PM 2:00PM Appointment Time RequestedThe following appointment times are generally available but our staff will call you to confirm your appointment after your request has been submitted. 7:00AM 7:30AM 8:00AM 8:30AM 9:00AM 9:30AM 10:00AM 10:30AM 11:00AM 1:00PM 1:30PM 2:00PM Appointment Time RequestedThe following appointment times are generally available but our staff will call you to confirm your appointment after your request has been submitted. 7:00AM 7:30AM 8:00AM 8:30AM 9:00AM 9:30AM 10:00AM 10:30AM 11:00AM 1:00PM 1:30PM 2:00PM Appointment Time RequestedThe following appointment times are generally available but our staff will call you to confirm your appointment after your request has been submitted. 8:00AM 8:30AM 9:00AM 9:30AM 10:00AM 10:30AM 11:00AM 1:00PM 1:30PM 2:00PM HiddenUsername Your request is not complete until you select "submit" at the bottom of this page. {all_fields}Additional Options Send me email updates once in a while. Add me as a user to this website.