Continuing his Vision
Merrill P. Spencer, M.D. (1922-2006)
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Patient Forms

TO SAVE TIME, Please complete the appropriate forms below and bring to your appointment.

  • Patient Registration Form
  • Web Form
    (Fill out, print, and bring to appointment)
  • Patient Privacy Policy
  • Downloadable PDF
    (Open and read)
  • Patient Acknowledgement of Privacy Policy
  • Web Form
    (Fill out, print, and bring to appointment)




    Our hours of operation for outpatient services are 8:30am to 5pm, Monday-Friday (except Holidays).
    To schedule an exam, please call one of our locations below. To print out our referral form, please click on the link above.
    Spencer Vascular accepts all patients and most insurance plans, including Medicare & Medicaid.

    Swedish Hospital / Cherry Hill Campus
    Jefferson Medical Tower
    1600 E. Jefferson Street, Suite 500
    Seattle, WA 98122
    Tel: 206.320.4400
    Fax: 206.320.4696
    Swedish Hospital / First Hill Campus
    Nordstrom Medical Tower
    1229 Madison Street, Suite 890
    Seattle, WA 98104
    Tel: 206.386.6980
    Fax: 206.386.6606
    Swedish Lakeside
    6520 226th Place, Suite 101
    Issaquah, WA 98027
    Tel: 206-320-4400
    Fax: 206-320-4696
    Northwest Hospital Campus
    McMurray Medical Building
    1536 N. 115th Street, Suite 310
    Seattle, WA 98133
    Tel: 206.838.8390
    Fax: 206.838.8392
    (c)2008 Spencer Diagnostic Services. All rights reserved. Privacy Policy