This form submits and stores information, including potential protected health information (PHI), electronically. This information is protected by government rules, including HIPAA. You have the right to not send information to us via this form and to contact us by phone (425-423-0878) to schedule your appointment.
You will be contacted via email to schedule your appointment unless you explicity request a phone contact only. Email is not considered a secure form of communication.
Click here to read more on our policies for your protected health information.