Nick Weiss, M.D.

Insurance

I am an in-network provider for most Regence, Premera and Lifewise insurance plans. Please call your insurance company directly to confirm coverage, as I unfortunately cannot guarantee that my services will be considered in-network by your plan.

Out-of-Network Insurance Carrier Reimbursement: You will be billed directly for services and payment is due at the time of service. After receiving payment I will provide you with a receipt which contains information typically necessary for insurance processing.

Practice Forms – Please review and complete prior to your first appointment.

Patient Registration Form

Practice Information

HIPAA Disclosure Form

Release of Information Form

Medical History Form

Credit Card Authorization

Child Symptom Checklist