Provider Resources

Provider Referral Forms

These frequently requested referral forms are provided for the convenience of community providers.


Hospital Affiliation Verifications

For hospital affiliation verifications, please access the
NAMSS PASS verification response.

Click NAMSSPASS for assistance with access.

Medical Staff Services

If you need assistance from our Medical Staff Services team, please contact:

Sally Rowland, CPMSM, CPCS, Credentialing Specialist, (360) 417-7711

Marisa Bleck, Credentialing Specialist, (360) 417-7336

Office Hours Monday – Friday,  7:00 a.m. – 3:30 p.m.

Medical Staff Fax (360) 417-7082


For patient documents such as medical history/chart contact:
Medical Records Phone (360) 417-7136
Medical Records Fax (360) 417-7674