
| All rights reserved. |
| Bellegrove Professional Park 1515 116th Avenue NE, Suite 105 Bellevue, WA 98004 Phone 425.455.8088 FAX 425.455.0708 |

| About Your Visit |
| Please assist us by checking in 15 minutes early if you are new to our office or 5 minutes early if you have seen us before. If you are unable to keep your appointment or need to reschedule, please call 24 hours in advance. You can save time at your visit by downloading the appropriate forms below, filling them out, and bringing them to your visit with you. Click Here to download our Patient Registration Form. Click Here to download our Notice of Privacy Practices. Click Here to download our Patient Health Information Form. Fees and Insurance Fees for office visits and surgery vary with the nature of each client's concerns. Payment is expected at the time of your visit. We accept Visa, Mastercard, Discover, and cash. Some diagnoses may be partially covered by insurance. We are not affiliated with any insurance companies. Please consult your insurance provider regarding your benefits. Although we do not bill insurance directly, we will be happy to print out a billing form for you to submit for possible reimbursement. |
| Our office is open Monday through Friday between 8:00 AM and 4:00 PM. Patients are seen by appointment only.Appointments can be made by calling our patient coordinator at 425-455-8088. |