Contact

Welcome and thank you for contacting us!

 

The Pelvic Health Clinic, PLLC
5901 Roosevelt Way NE, Suite B
Seattle, WA 98105
Phone: (206) 527-2800
Fax: (206) 526-5394

Office Hours
Monday - Friday 8am - 6 pm

 


GENERAL INQUIRIES

Name *
Name

PATIENT APPOINTMENT REQUEST

This request form should be used for those individuals that know they want and need an appointment. This form asks for more comprehensive information such as referral sources and insurance, if applicable.
 

Appointment Request Form*
 

*This form is powered by Gsuite for business. Any information submitted and collected through this form is protected under HIPPA confidentiality policies and will only be used for the purposes of your care with The Pelvic Health Clinic.