• Insurance card
• Referral (if one is needed)
• Medical records and/or x-rays
• A list of new medications

 Referrals:

 What is a referral?
A referral is a request from a primary care physician (PCP) to another physician, usually a specialist, requesting consultation on a patient's care.

How do I know if I need a referral?
Many insurance companies require a written referral to see a specialist. The best way to find out if a referral is required is to call your insurance company prior to your office visit. The number is usually located on the back of you card and is typically a 1-800 number.

How do I get a referral?
Contact your primary care physician (PCP). They will be able to generate a referral for you.

Insurance:
It is very important that every time you see your physician you bring your insurance card with you. Your ID number or group number may change yearly or even monthly, so it is essential to bring it so we can always get an updated copy.

Co-pays:
The patient is expected to present an insurance card at each visit.  All co-payments and past due balances are due and payable at the time of service.  If we have to bill you for co-pay, there will be a $5.00 fee to cover administrative and postage fees.

Insurance Companies that ALWAYS NEED referrals:

• Tricare
• Regence Selections
• Regence Boeing Selections
• Secure Horizon – PCN (Physicians Care Network)
• Aetna HMO
• Cigna HMO
• Molina/Community Health
• Pacificare

Pacificare Signature Value
Pacificare Signature POS

 Insurance Companies that DON’T need referrals:

• 1^st Choice
• AARP
• Aetna PPO
• Cigna PPO
• Secure Horizons

NW Physicians Network
Seattle Network
Snohomish Network
Swedish Physicians Network

• Great West
• Secure Horizons Direct
• Group Health Options
• DSHS
• Guardian
• Mutual Of Omaha
• Northwest Administrator
• Blue Cross Blue Shield
• Lifewise
• USAA
• Medicare

Sterling Options

• Premera
• Regence PPO

MedAdvantage

• Uniform
• United

      Evercare

·         Medicare with Tricare

• Pacificare PPO, EPO

Pacificare Signature Options
Pacificare Signature Freedom
Pacificare Signature Direct
Pacificare Signature Access