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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.)