(509) 228-1000 WA
(208) 754-3100 ID

Patient Referral Form

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Thank you for your interest in referring a patient to Cancer Care Northwest. The referral process is easy. Simply download the form at the link below and submit via fax to the location of your choice.

 Download here: Patient Referral Form


South Spokane
601 S Sherman
Spokane, WA 99202
(509) 228-1000
800-866-9809 toll free
(509) 252-9337 fax
 

North Spokane
605 E Holland, Suite 100
Spokane, WA 99218
(509) 228-1000
800-866-9809 toll free
(509) 252-9337 fax


Kootenai Clinic Cancer Services, Coeur d'Alene
700 W Ironwood Dr, Ste 130
Coeur d’Alene, ID 83814
(208) 754-3100
800-866-9809 toll free
(509) 252-9337 fax

Providence Sacred Heart Medical Center
101 W 8th Ave, Lower Level 3
Spokane, WA 99204
(509) 228-1000
800-866-9809 toll free
(509) 252-9337 fax
 

Spokane Valley
1204 N Vercler Road
Spokane, WA 99216
(509) 228-1000
800-866-9809 toll free
(509) 252-9337 fax
 

Kootenai Clinic Cancer Services, Post Falls
1440 E Mullan Ave
Post Falls, ID 83854
(208) 754-3100
800-866-9809 toll free
(509) 252-9337 fax

Providence Holy Family Hospital
5633 N Lidgerwood St
Spokane, WA 99208
(509) 228-1000
800-866-9809 toll free
(509) 252-9337 fax
 

Downtown Spokane
and PET/CT Center 

910 W 5th Ave 
Suite 102 and 130

Spokane, WA 99204
(509) 228-1000
800-866-9809 toll free

(509) 252-9337 fax