Patient Assistance Program

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If you need specialty medical care at Pacific Medical Centers (PMC) and you meet the following criteria you may qualify for PMC's Patient Assistance Program. To qualify for this low or no cost medical care, you must complete this enrollment form and attach all requested documents.

Please return this completed form, with ALL required documents, to your Community Health or Public Health clinic. If you need help to fill out this form or have questions, please call Pacific Medical Centers at (206) 505-1243 or (206) 505-1088.

PMC: Patient Assistance Program Enrollment Form
PMC: Asistencia al Paciente

Find what you're looking for at Pacific Medical Centers (Pac Med) with clinics in Seattle (Northgate, Beacon Hill, First Hill), Federal Way, Lynnwood, Canyon Park, Renton, and Totem Lake, near Kirkland and Bellevue. Use our Physician Finder to find a doctor who will meet your needs.

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New Patient Information Line: 1-888-4-PACMED (1-888-472-2633)
Corporate Office 206-621-4466

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