Walk-In Clinic & Urgent Care Locations

Date of Birth

Please Enter Patient's Date of Birth Must be at least 18 years old for in-person primary care visits. Please visit Indigo Online Care or Indigo Urgent Care. Please Enter a Valid Date of Birth

Mobile

Please enter Patient Mobile Number in this format 555-555-1212

Insurance Carrier

In-person Primary Care is unable to see patients with your selected insurance at this time. Please visit Indigo Online Care or Indigo Urgent Care. Please specify your insurance carrier

Insurance Plan Name

Please specify your insurance plan

Upload Insurance Photos Front Back

Insurance Group Number

Insurance Member Id

Cardholder Name

Cardholder Date of Birth

Please Enter Cardholder Date of Birth

Cardholder Birth Sex

Female Male Other

Patient's Relationship to Insured

Read and review patient consent forms

Download PDF Version of the Acknowledgment of Conditions for Treatment & Financial Disclosures

By signing, I understand and agree to the terms and conditions contained in the forms above and agree to sign them electronically.

Please Read and Consent To Conditions for Treatment & Financial Disclosures

Kirkland

Book Appointment

1. Select a care type

Online Urgent Care

Online Primary Care

2. Pick a date & time

Choose an appointment slot from the list below

All Locations

Kirkland

Location Map

Online Urgent Care

Online Primary Care