Primary Care

At TLJ Concierge Primary Care, our providers emphasize prevention and early detection of a wide range of diseases. Services range from annual wellness visits, pap smear, contraception to urgent care visits, and management of conditions including but not limited to:

• Thyroid disease
• Depression/ anxiety
• Diabetes
• Hypertension
• High Cholesterol
• Cardiovascular Disease
• Asthma
• Gastroesophageal Reflux
• Skin Cancer detection
• Acne/ Rosacia
• Urinary Incontinence
• Menopause/Perimenopause – Hormone Replacement Therapy

TLJ is a unique combination of 2 practices, Aesthetic Medicine and Primary Care (Internal Medicine and Family Medicine).  Both divisions of the practice are our high priority. As of 2024, we have 6 different providers, each with a specialized and unique set of skills and training to ensure you get the best care possible.  Here you can get comprehensive care in one location.  From your annual wellness visit/ physical exam to your Botox or laser treatment,  you will see a provider with the training and expertise to help you. At TLJ, we are caring for you, inside and out.

The focus of obstetrics and gynecology is typically on women who are having babies (obstetrics) and women having issues involving the genital tract requiring surgery (gynecology).  In women seeking contraception, menopause management,  hormone replacement therapy, urinary incontinence, pap smear for cervical cancer screening, among other common issues women face, our medical providers at TLJ Concierge Primary Care are trained to help you so you don’t need a second doctor under most circumstances for issues such as these.

No.  TLJ Concierge Primary Care is a private medical practice, in a safe and intimate location in the heart of Issaquah at the HighMark Medical Center.  The founder of the practice,  Dr Terry Jacobson, has privileges at Overlake Hospital, however, the practice is independent of any hospital or medical organization.  At TLJ, we have the flexibility to utilize specialists from any organization or any ER / hospital of our patients choosing.  There is no pressure to stay within one system.

Yes.  We are contracted with most major insurance carriers.  Patients are responsible for the typical copays and co-insurance in most medical practices. We are a concierge model of care, meaning that we provide much longer appointment times, markedly easier and timely appointment times, more optimal communication as well as other items not covered by insurance. For more information on concierge care, click here

TLJ Concierge Primary Care is an independent internal medicine primary care practice in Issaquah for over 25 years. We have developed relationships with a variety of specialty care provided on the Eastside and Seattle. We work with our patients to choose the best fit for them, regardless of what hospital or clinic system the specialist is affiliated with.

Yes. Our patients’ privacy is our top priority. We follow strict HIPPA policies and procedures to ensure you never need to worry about privacy.

There is no length of obligation if you choose TLJ for your primary care. If circumstances change for any reason, you are free to transition your care without any financial penalty.

Our founder, Dr Terry Jacobson, saw the need 25 years ago to make a change in the way primary care is delivered. Patients and providers do not have the time they need in a visit to ensure all of patients’ issues are thoroughly addressed. Long wait times and frustrating communication with providers and care coordinators are not acceptable. Urgent Care facilities are over utilized given the lack of availability of primary care doctors, so patients continuity of care suffers and medical problems slip through the cracks with a fragmented approach to care. At TLJ, our patient panel size is capped at about 10% the typical panel size to ensure you can see your provider when you need to and spend the time necessary to get the care you deserve.

We did not invent concierge model of medical practice, but when our patients began asking for a different way of doing things, we responded with a solution. And… never looked back! Welcome to a better of receiving comprehensive medical and preventative care at TLJ.

For more information on concierge care, click here

Yes. We care for both women and men, as well as their teen and adult children, 16 years of age and older. Have a teen right on the border of our age requirement? No problem, we can discuss your needs and help with a solution.

Simple. Text or call our office to arrange a meet and greet appointment to chat with our provider(s) who’s panel is open to new patients. This is a complimentary visit to discuss your needs and how our practice works. Medical care and advice will be given once you establish care with us.