Let’s get your baby scheduled

To get started, please follow the secure link below to complete our registration form. Your entries will be saved as you go to complete at a later time as needed. Upon completion, our Intake Scheduler will contact you with information and appointments available.

We are in-network with Premera, Regence and other BlueCross Blueshield plans, Aetna, First Choice and Cigna.

Click here —> Intake Forms

We aim to get babies scheduled as soon as possible as a lot can change in just days. For other questions, please fill the form below and we will get in touch with you as soon as possible. We prefer emails for ease of communication so be on the lookout!

Parent Name

First Name

Last Name

Baby's Name

First Name

Last Name

Baby's Date of Birth

MM

DD

YYYY

Parent Email

Parent Phone Number

Primary Concerns

Primary Insurance

Insurance ID number

Referred by (How did you find us?)

Preferred Location