How to join Serene Primary Care

To become a member, start by getting to know me at a free meet and greet. You'll have an opportunity to decide if joining is right for you.

I keep my practice intentionally small, so membership spots are limited.

Before you start:

  • You need to be located in Washington State to receive visits or medical advice

  • Care covers all ages, birth through end of life (prenatal care and delivery are not included)

  • Membership pricing is on the Pricing page

  • Questions first? See the FAQs

Schedule a free meet and greet

  • The meet and greet is a free 30-minute conversation by video call, or by phone if you prefer:

    • Answers to your questions

    • How direct primary care works at Serene Primary Care

    • Whether your expectations match the care you'd receive

    There's no obligation to join.

    Schedule a free meet and greet

  • Within 24 hours of your meet and greet, you'll receive an email with:

    • A summary of the conversation and answers to any follow-up questions

    • Your link to schedule the initiation visit, if you decide to join

    The initiation visit can be virtual or in person at the Bellevue clinic.

    A credit card on file holds your appointment.

  • After you schedule, you'll get access to the secure patient portal. Complete these forms before your visit:

    • Contact information

    • Health history

    • Washington State direct primary care patient agreement (Medicare patients also sign Appendix 2)

    If you'd like records from your previous providers, complete the records request form in the portal and the request is handled for you.

  • Your first visit is the initiation visit. It starts your membership and gets your care underway:

    • Activate your membership: the sign-up details and business side, handled quickly

    • Begin your care: go over your medical history and start on your current health concerns

    The one-time $175 initiation fee is invoiced in the patient portal after this visit, and monthly membership billing starts 30 days later.

    • Spruce invitation: the secure app for messages and video visits with Colleen

    • Welcome message: how to reach care as a member

    • Visit summary: sent through Spruce, with your next steps

    Most messages are answered and most visits are available the same day during business hours (Monday noon to 7 pm, Tuesday through Friday 9 am to 5 pm). Evening and weekend messages are answered as I'm able, and weekend and holiday visits aren't guaranteed.