Request Your Appointment 1 Patient Information2 Appointment Setup3 Confirmation Your Name* First Last Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Email* 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.PremeraBlue Cross Blue ShieldRegenceUnited HealthcareAetnaLifewiseFirst ChoiceKaiser PermanentGroup IDMember ID Appointment Location*Seattle Clinic Hours: Mondays (8am to 11am), Wednesdays (8am to 2pm), Saturdays (8am to 10am)Kirkland Clinic Hours: Mondays (1pm to 3pm), Tuesdays (8am to 3pm), Thursdays (8am to 3pm), Fridays (8am to 3pm), Saturdays (Noon to 3pm)Federal Way Clinic Hours: Tuesdays, Wednesdays, and Thursdays (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.KirklandFederal WaySeattleAppointment Date Requested* Date Format: MM slash DD slash YYYY Appointment Date Requested* Date Format: MM slash DD slash YYYY Appointment Date Requested* Date Format: 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. 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. 8:00AM 8:30AM 9:00AM 9:30AM 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. 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. 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 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 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 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 Username 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.
