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

Nick Weiss, M.D. PLLC

Phone: 206.747.0724 / Fax: 844.857.3175