Seattle Premier Health is a concierge medicine clinic for adults in Seattle WA who value one-on-one time and a more personal, ongoing relationship with their doctor.

Enrollment forms

Seattle Premier Health is a concierge medicine clinic for adults in Seattle WA who value one-on-one time and a more personal, ongoing relationship with their doctor.

Use the links on this page to complete or print your enrollment forms. You can enroll at any time. If you have questions about the forms please contact us.

Steps to enroll in Seattle Premier Health:

1. Please read our privacy policy.

2. Print and complete the following forms.

3. When you have completed all the forms you may email them to , fax them to 206‑215‑4315, mail them to us or bring them by our office Monday-Friday between 8:30a.m. and 5:00p.m. No appointment is necessary to enroll.

Seattle Premier Health
1600 E. Jefferson Street, Suite 115
Seattle, WA 98122
206-215-4300 (phone)
206-215-4315 (fax)

Seattle Premier Health  |  Copyright © 2017  |  All Rights Reserved.
1600 E. Jefferson Street  |  Suite 115  |  Seattle, WA 98122
T: (206) 215-4300  |  F: (206) 215-4315  |  
Privacy Policy  |  Photos by Jay Dotson Photography
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