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Refer a Patient

Working To Earn Your Trust By Providing The Highest Levels Of Proton Therapy Care.

Refer by phone

To speak with someone in person about a referral, please call us at 1-844-675-1627. Our Patient Navigators are available Monday through Friday, 8:00 AM to 5:00 PM (Pacific).

After Hours

If making a referral after hours, please download and fax the Physician Referral Form. If you prefer to leave a message, please leave your full name, phone number and reason for calling, and we will call you back the next business day.

Fax Referral

To fax a referral, please print out and send the Physician Referral Form and fax to (206) 374-2645. A Patient Navigator will contact you as soon as possible.

Physician Referral Form PDF

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*Disclaimer* This form is unsecured and is for general information requests only. Please do not use this form for questions or comments regarding personal health information or for time-sensitive matters. Electronic communication with the SCCA Proton Therapy Center, whether by email or through this website, is an unsecured means of communication. The SCCA Proton Therapy Center cannot guarantee the confidentiality or privacy of information communicated electronically. Such information may be read by people other than yourself or your healthcare provider (such as your employer if you use your work email or computer, your internet service provider, or an administrative employee). In addition, electronic communication is not a reliable means of communication regarding time-sensitive matters.