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Referring Providers

Referring a patient to Salish Cancer Center is easy!

Providers can start the referral process by simply filling out the referral information form.

Our providers ensure to keep referring providers up-to-date on their patient’s care.

To learn more about our services, you can reach us below:

Mon-Thurs: 8 am to 5 pm
Fri: 8 am to 12 pm

Main: 253-382-6300
New Patients: 253-382-6317


Salish Cancer Center
3700 Pacific Hwy E., Suite 100
Fife, WA 98424

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Referral Information

Patients Name(Required)
Date Of Birth(Required)
Patient Home Address(Required)
Insurance Company and Plan Info
Referring Provider Name(Required)
Clinic Address
Patients Primary Care Provider
Referring to Service(s)(Required)
Referral Urgency(Required)
Reason for Referral(Required)
(Demographics or face sheet, relevant chart notes, medication/allergy list.)
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Max. file size: 50 MB.