Thank you for your referral or question!

Please fax required documentation to our secure fax (1-425-276-3214), if you would like to make an appointment. You may also mail your CD of imaging studies to the following address with the patient’s complete demographics.

Referral Services / Clinical Institute
PEC Clinical Institute Online Form
Providence Health & Services
2201 Lind Ave S.W.
Renton, WA 98057

Tel. 1-844-552-2734 or 1-206-215-2080

The following documentation may be required depending on specialty:

  • Patient’s complete demographics
  • Valid referral from referring physician
  • Copy of insurance card, both sides
  • Authorization, if required
  • Recent medical records and labs
  • Current list of medications and allergies
  • Chart notes from recent inpatient, outpatient, ER, or urgent care visits
  • Reports from recent surgeries
  • Imaging done in the last year related to relevant diagnosis (all reports and images)

We’ll contact you shortly, during regular business hours (Monday-Friday: 8 a.m. - 4:30 p.m.)