New Patient Inquiry

If you would like to set up an initial appointment with one of our providers, please complete this form.  Dr. Cooper and Kristen Rheinlander, PA-C work as a collaborative team. 
If you have read about our services and feel you are a good fit, please contact the front desk directly and complete this form.  Our front desk can help answer any questions and schedule your appointment. Please call us at 206-632-4575 or email us at  This is a HIPAA secure form.
Note: Proof of full Covid vaccination, including booster, is required of all eligible individuals for entry into our clinic.
Do you reside in Washington State? *
If eligible, are you fully vaccinated, including booster, against Covid 19? If not, are you willing to get vaccinated since it is a requirement for entry into the clinic? *

How did you hear about our clinic? *

Would you like to receive updates from Dr. Cooper's nonprofit, the Diabesity Institute? *