For Lakeshore Bothell Primary Care Patients

We are pleased that you have chosen EvergreenHealth Primary Care, Lakeshore (formerly Lakeshore Clinic) as your care provider.

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For New Patients

In order to make your first visit go as smoothly as possible, please download and complete the child or adult new patient packet and bring to your visit.

• New Patient Packet - for Children
• New Patient Packet - for Adults

Items Needed at Check-In

• Photo ID
• Insurance Card(s)
• Copay if applicable
• Subscriber Information (if different than self)

We will be taking you photo for our records at your first visit. This enables us to accurately bill charges on your behalf and protect you against identity theft.

Co-pays, co-insurance and any patient balances are due at the time of service. For your convenience we accept cash, debit, Discover, Visa or MasterCard.

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Patient Portal

Our My Navigator patient portal puts you in charge of your health care:

• View your medical record and immunizations
• Renew your medications
• Email your provider
• Request a referral
• Request an appointment
• Update your personal information
• Pay your bill with a credit card

Set up your My Navigator account online >

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Returning Patients

Please download and complete the appropriate form and bring to your visit.

• Patient History Form - Child
• Patient History Form - Adult

Access your patient portal

Please bring a photo ID and your insurance card to each visit.

Co-pays, co-insurance and any patient balances are due at the time of service. For your convenience we accept cash, debit, Discover, Visa or MasterCard.

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After Hours, Weekends & Emergency Care

After Hours

EvergreenHealth Primary Care, Lakeshore has a 24-hour on-call physician to answer questions and advise you about your care. 

Our on-call physician has access to your medical record and can help determine the best course of action for your care.

Urgent Care

If it can't wait, EvergreenHealth walk-in urgent care centers offer expanded hours in Kenmore, Mill Creek, Redmond, Sammamish and Woodinville. 

• Click to find current urgent care wait times
• Click to schedule an urgent care appointment

Emergency Care

When you are sick or in pain, you might think a visit to the ER is your best bet. Please keep in mind that a visit to the ER can result in longer wait times and higher costs compared to an office visit or an urgent care visit.

We understand that there are situations that require a trip to the ER. If a trip to the ER is absolutely necessary, please do not hesitate to seek care from your nearest Emergency Room.  EvergreenHealth operates Emergency Rooms in Kirkland, Redmond and Monroe.

After your visit to the ER, please schedule a follow-up appointment with your Primary Care Physician as soon as possible.

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Prescription Refills

When you need a prescription refilled, please call your pharmacy (local or mail order) and allow three business working days including Saturday to complete your request.

If you have no refills remaining, still contact the pharmacy and they will send a refill request directly to us.

If you are planning to go on vacation, please check your supply. If you need an early refill please notify your pharmacy.

For pick up information, please call the pharmacy and speak with a pharmacy staff person to see if your prescription is ready for pick up.

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Additional Patient Forms

Download and complete these forms and bring to your next appointment.

Miscellaneous Forms

• Durable Power of Attorney
• Individuals Involved in Care
• Race Ethnicity Preferred Language Form
• Financial Agreement
• FMLA Certification of Health Care Provider for Employee
• FMLA Certification of Health Care Provider for Family
• Release of Information - Authorization to Release PHI

School Physical Forms

Please get the most current forms from your school's website.

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Insurance and Billing

Please see our Insurance and Billing page for more information.