New patient appointments

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If you’re new to The Polyclinic, you can schedule a primary care appointment by filling out the form below. Due to health care privacy laws, we cannot reply by email. Our New Patient Services team will call you to confirm.

You can also call us at 1-206-329-1777 during regular business hours. To schedule a specialty care appointment, please call the provider’s office directly.

Please enter information in English. Language assistance services are available free of charge.

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First name

Last name

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Phone number (including U.S. area code)

Please enter a 10 digit phone number with no country code, special characters or spaces

Best time to reach you (our office hours are Monday–Friday, 8 a.m.–5 p.m.)

May we leave you a voicemail at the number listed above?

Type of medical insurance

How did you hear about us?

Please do not include any confidential, medical or personal information.

If you are having life-threatening symptoms, call 911 right away.