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National IV Fluids Shortage
A critical national IV fluids shortage is impacting MultiCare. Our highest priority is ensuring our patients continue to get the care they need. We are actively managing our supply, and all facilities remain open. Please contact your provider with questions about your care. Thank you for your understanding.

Financial Assistance Forms

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.