Forms you need to apply for financial assistance
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:
P.O. Box 5299
Mail Stop: 1002-1-PFN
Tacoma, WA 98415-0299 - Fax to: 253-864-4017
- Email to: [email protected]
- Online via MyChart (Please note: MyChart is currently not available for MultiCare Yakima Memorial Hospital)
- In person. Take a printed copy of your completed financial assistance application to any of our main hospitals or medical centers’ Admitting Desk, where a financial navigator will help you file it.
Contact Us
If you have billing questions, we are available to help Monday – Friday, 7:30am – 5pm. Please call 800-919-1936.
To reach a patient financial navigator, call 833-936-0515.