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COVID-19 Vaccine Updates

If you are currently eligible to receive the vaccine (Phase 1A or Phase 1B, tier 1) and need to get your first dose, please call our automated vaccine line at 833-770-0530 to add yourself to the wait list for a first-dose appointment and request updates. More information

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Financial Assistance Forms

Get the Financial Assistance Forms You Need

Our Financial Assistance Application and Proof of Income instruction sheet are available to download in several languages.


*Please submit completed financial assistance application forms using ONE of the following methods:

  • Mail to:
    PO BOX 5299
    Mail Stop: 1002-1-PFN
    Tacoma, WA 98415-0299
  • Fax to: 253-864-4017
  • Take a printed copy of your completed Financial Assistance Application to any of our main hospitals or medical centers' Admitting Desk, where a navigator will help you file it.