Contact Us

If you would like additional information about our clinic, the adolescent fibromyalgia study, or to schedule an appointment for an evaluation, you can complete the questionnaire and a staff member will contact you. You may also call our office at  877-453-0404.

Address                                           Clinic Hours
1951 152nd Pl NE                          Monday  &  Thursday:   7:30am – 4:30pm
Suite 200                                         Tuesday & Wednesday: 8:30am – 7:30pm
Bellevue, WA 98007                       Friday:  CLOSED

Phone Number                               Email
Local:         (425) 453-0404           Use the form on the right to send us a message.
Toll Free:   (877) 453-0404
Fax:            (425) 453-1033

Contact us by phone 24 hours a day, 7 days a week.

Driving Directions:

View Larger Map

General Driving Directions:
From I-405 head east on SR 520 to the 148th Ave NE exit southbound.
Head south to the 3rd traffic light and turn left (East) on 20th Ave NE.
The next light is Bel-Red road. Continue on 20th Ave NE just past the light there is a driveway on the right.
Parking is at the rear of the building.


Questionnaire:


Please let us know which of the following symptoms you’ve noticed your child has experienced.

 Fatigue Difficulty sleeping Constantly waking up tired Anxious or depressed Stomach or head aches Difficulty remembering Dizziness Restless leg while sleeping NONE

Has your child been treated for fibromyalgia before?
 Yes No

Is your child currently receiving treatment for fibromyalgia?
 Yes No

Does your child have a history of any of the following?

 Seizure Disorder Stroke Head Injury Brain Tumor Cancer NONE

What is the Child's Gender?
 Male Female

How old is your child?

Parent's Name (First and Last):

Child's Name (First and Last):

Phone:

Email Address:

Is the child a resident of Washington State?

Zip Code:

What is the best time to contact you?

How did you hear about us?
 TV Radio Referral Flyer/Brochure Internet Search Web Advertisement Facebook Previous Patient

Please enter any questions or comments in the space below.

Your information will not be shared with or sold to anyone without your permission or except as required by law. See our Privacy Statement for details.

 I agree to the Privacy Statement

© 1999-2011 Northwest Clinical Research Center