Request an Appointment

Start with a free 15 minute phone screening consultation.

Before you reach out

This form requests a 15 minute phone screening consultation. It is a brief call for us to talk about what you are looking for and see whether we are a good fit. It is not an appointment for treatment.

I will review your request and call you within a few business days to find a time.

Insurance: I am in-network with Premera Blue Cross, LifeWise, and First Choice & Kaiser PPO plans. Self-pay and out-of-network options are also available. See Services for details.
New patient inquiries only. If you are an existing patient, please call 206-401-5681 or contact me directly through the Osmind patient portal.

Personal Information

Choose the days and times that work best for a 15 minute call. I will do my best to reach you then.

Preferred Days
Preferred Times

Acknowledgements

Submitting this form does not guarantee an appointment. Please do not include health information on this form. We can talk through the details on our call.