Book An Appointment

New patients, please use the form below to tell us about your appointment interest.

  • Our general response time is less than one business day. 

For same day appointments, TEXT US at (206) 485-4364 and inform us you’re looking for same day or next day appointment and the best time to reach you by phone.

  • Existing patients can go to onpatient portal and schedule online - see link to the right.

Please review privacy statement below the form prior to submitting your form.

Name *
Cell Phone *
Cell Phone
Word of mouth? A friend - if so, whom, we'd like to thank them? Google? Your insurance? Saw Lise Martin, ARNP at a different health clinic Please let us know, thanks.
Your initial visit will take 60-90 minutes, depending on your concerns and medical history, so please allow that much time when scheduling.

PRIVACY NOTICE: Information you submit using this form will be emailed to Seattle Women’s & Moms’ Clinic. Please be aware that e-mail is not a secure method of communicating confidential information. It is impossible to assure privacy of any communication by electronic means. If you are uncomfortable with this possible limitation to your privacy, please communicate by other means. To protect your more sensitive information, we offer a secure patient portal through onpatient. We also offer HIPAA compliant texting through OhMD, a site that makes uploading images and IDs/insurance cards, very easy. For more information, please read our Notice of Privacy Policies.

Thank you for sharing your information & your interest in our clinic!

We look forward to reviewing it and following up with you.

Email Us

The best way to reach us is via email,

Our clinic phone number (206) 485-4364 is also capable of receiving text messages, so feel free to use that as well.