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Patient Resources: Appointments, Refills and Forms

Office Visits

Our providers can generally see patients the same or next day. If your doctor is out of the office, you are welcome to see another provider. Same or next day appointments are welcome, however for annual exams we ask that you schedule your appointment one week or more in advance.

Phone Appointments

Your Qliance provider is available for over-the-phone consultations for minor issues and quick questions. Phone visits are most useful and appropriate for following up on an existing medical problem, addressing medication questions (not refills), lab tests or following up after a sub-specialist visit. If your question requires in-person attention, your provider may ask you to come into the clinic.

Email Contact

Please feel free to contact your provider by email for non-urgent issues. They will generally get back to you within 2 business days.

To make a Qliance appointment, please call the front desk at your home Qliance location:

Located in Seattle at The Medical Dental Building


509 Olive Way, Suite 1607
Seattle, WA 98101-1721
Directions

206-913-4700
206-913-4710  

Hours of operation:
Monday – Friday: 7:00 am to 7:00 pm
Saturday: 9:00 am to 2:00 pm
Sunday: 10:00 am to 2:00 pm

To reach a Qliance provider after hours:
If you have a life threatening emergency, please call 911.
The Seattle clinic offers weekend appointments for urgent care needs. If you need to speak to a physician after hours please call the clinic directly and follow the voice prompts.

Prescription Refills:
We offer a number of ways to request prescription refills:

  1. Notify your pharmacy and they’ll take care of the rest
  2. Call our refill line 206-913-4720 and follow the instructions
  3. Email – include: full name, date of birth, and medication

For accurate and efficient processing, please include the following information:

  • Name of Qliance clinician
  • Name of medication
  • Dosage (e.g. oz, mg)
  • Frequency (e.g. daily)
  • Desired quantity (e.g. 30 or 90 day supply)
  • Preferred pharmacy name & phone number

Please note: If your clinician is unavailable on the day of your request, processing your refill may take up to 48 hours. Refills for controlled substances are completed only by your personal clinician and may take up to 3 business days to process.

Patient Services Team
For questions about billing or to update your account information (including address, phone number, or email address), please call our Patient Services Team at 206-381-3030, or send an email to

Located in Kent at Kent Station


521 2nd Place North, Suite 103
Kent, WA 98032-4538
Directions

253-478-4900
206-913-4710

Hours of operation:
Monday: 9:00 am to 7:00 pm
Tuesday: 8:00 am to 5:00 pm
Wednesday: 8:00 am to 5:00 pm
Thursday: 8:00 am to 5:00 pm
Friday: 8:00 am to 5:00 pm
Saturday: 9:00 am to 2:00 pm

To reach a Qliance provider after hours:
If you have a life threatening emergency, please call 911.
The Kent clinic offers weekend appointments for urgent care needs. If you need to speak to a physician after hours please call the clinic directly and follow the voice prompts.

Prescription Refills:
We offer a number of ways to request prescription refills:

  1. Notify your pharmacy and they’ll take care of the rest
  2. Call our refill line 206-913-4720 and follow the instructions
  3. Email – include: full name, date of birth, and medication

For accurate and efficient processing, please include the following information:

  • Name of Qliance clinician
  • Name of medication
  • Dosage (e.g. oz, mg)
  • Frequency (e.g. daily)
  • Desired quantity (e.g. 30 or 90 day supply)
  • Preferred pharmacy name & phone number

Please note: If your clinician is unavailable on the day of your request, processing your refill may take up to 48 hours. Refills for controlled substances are completed only by your personal clinician and may take up to 3 business days to process.

Patient Services Team
For questions about billing or to update your account information (including address, phone number, or email address), please call our Patient Services Team 206-381-3030. You may also send an email to .

Located in Tacoma off of Union Ave.


2420 S. Union Avenue, Suite 100
Tacoma, WA 98405
Directions

253-254-7380
206-913-4710

Hours of operation:
Monday – Friday: 8:00 am to 5:00 pm
Saturday: 9:00 am to 2:00 pm

To reach a Qliance provider after hours:
If you have a life threatening emergency, please call 911.
The Tacoma clinic offers weekend appointments for urgent care needs. If you need to speak to a physician after hours please call the clinic directly and follow the voice prompts.

Prescription Refills:
We offer a number of ways to request prescription refills:

  1. Notify your pharmacy and they’ll take care of the rest
  2. Call our refill line 206-913-4720 and follow the instructions
  3. Email – include: full name, date of birth, and medication

For accurate and efficient processing, please include the following information:

  • Name of Qliance clinician
  • Name of medication
  • Dosage (e.g. oz, mg)
  • Frequency (e.g. daily)
  • Desired quantity (e.g. 30 or 90 day supply)
  • Preferred pharmacy name & phone number

Please note: If your clinician is unavailable on the day of your request, processing your refill may take up to 48 hours. Refills for controlled substances are completed only by your personal clinician and may take up to 3 business days to process.

Patient Services Team
For questions about billing or to update your account information (including address, phone number, or email address), please call our Patient Services Team 206-381-3030. You may also send an email to

Located in Bellevue in the Expedia Building


333 108th Ave NE, Suite M150
Bellevue, WA 98004
Directions

425-454-3300
206-913-4710

Hours of operation:
Monday – Thursday: 7:00 am to 7:00 pm
Friday: 7:00 am to 5:00 pm
Saturday: 9:00 am to 2:00 pm

To reach a Qliance provider after hours:
If you have a life threatening emergency, please call 911.
The Bellevue clinic offers Saturday appointments for urgent care needs. If you need to speak to a provider after hours please call the clinic directly.

Prescription Refills:
We offer a number of ways to request prescription refills:

  1. Notify your pharmacy and they’ll take care of the rest
  2. Call our refill line 206-913-4720 and follow the instructions
  3. Email – include: full name, date of birth, and medication

For accurate and efficient processing, please include the following information:

  • Name of Qliance clinician
  • Name of medication
  • Dosage (e.g. oz, mg)
  • Frequency (e.g. daily)
  • Desired quantity (e.g. 30 or 90 day supply)
  • Preferred pharmacy name & phone number

Please note: If your clinician is unavailable on the day of your request, processing your refill may take up to 48 hours. Refills for controlled substances are completed only by your personal clinician and may take up to 3 business days to process.

Patient Services Team
For questions about billing or to update your account information (including address, phone number, or email address), please call our Patient Services Team 206-381-3030. You may also send an email to

Located in Northup Bellevue in the Medical Dental Building


15419 NE 20th St
Bellevue, WA 98007
Directions

425-747-5100
206-913-4710

Hours of operation:
Pending

To reach a Qliance provider after hours:
If you have a life threatening emergency, please call 911.
The Bellevue clinic offers Saturday appointments for urgent care needs. If you need to speak to a provider after hours please call the clinic directly.

Prescription Refills:
We offer a number of ways to request prescription refills:

  1. Notify your pharmacy and they’ll take care of the rest
  2. Call our refill line 206-913-4720 and follow the instructions
  3. Email – include: full name, date of birth, and medication

For accurate and efficient processing, please include the following information:

  • Name of Qliance clinician
  • Name of medication
  • Dosage (e.g. oz, mg)
  • Frequency (e.g. daily)
  • Desired quantity (e.g. 30 or 90 day supply)
  • Preferred pharmacy name & phone number

Please note: If your clinician is unavailable on the day of your request, processing your refill may take up to 48 hours. Refills for controlled substances are completed only by your personal clinician and may take up to 3 business days to process.

Patient Services Team
For questions about billing or to update your account information (including address, phone number, or email address), please call our Patient Services Team 206-381-3030. You may also send an email to

Located in Lynnwood


19401 40th Ave West
Lynnwood, WA 98036
Directions

425-640-3700
206-913-4710

Hours of operation:
Monday – Thursday: 8:00 am to 6:00 pm
Friday: 8:00 am to 5:00 pm

To reach a Qliance provider after hours:
If you have a life threatening emergency, please call 911.
The Lynnwood clinic offers weekend appointments for urgent care needs. If you need to speak to a physician after hours please call the clinic directly and follow the voice prompts.

Prescription Refills:
We offer a number of ways to request prescription refills:

  1. Notify your pharmacy and they’ll take care of the rest
  2. Call our refill line 206-913-4720 and follow the instructions
  3. Email – include: full name, date of birth, and medication

For accurate and efficient processing, please include the following information:

  • Name of Qliance clinician
  • Name of medication
  • Dosage (e.g. oz, mg)
  • Frequency (e.g. daily)
  • Desired quantity (e.g. 30 or 90 day supply)
  • Preferred pharmacy name & phone number

Please note: If your clinician is unavailable on the day of your request, processing your refill may take up to 48 hours. Refills for controlled substances are completed only by your personal clinician and may take up to 3 business days to process.

Patient Services Team
For questions about billing or to update your account information (including address, phone number, or email address), please call our Patient Services Team at 206-381-3030, or send an email to


            

Emergencies and Medical Information

If you need immediate medical attention, call 911. If you are able to notify Qliance of your medical emergency before, or on your way to the hospital, your Qliance clinician can send over any pertinent medical records before your arrival. Please ask your ER physician to contact your primary care physician at your home clinic number after they have evaluated you.


            

Map and Directions For All Locations


            

Forms

Adult Health History Form
Child Medical Health History Form
Medical Records Transfer Form
Account Update Form
Privacy Form
Email Communication Form
Discontinue Service Form
Controlled Substance Policy

Registration Packet

Adult Registration Packet
Child Registration Packet

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