Patients & Caregivers

Request an appointment

There are two ways to request an appointment at Seattle Cancer Care Alliance (SCCA). You may either call us or fill out our online appointment form. If you have any questions, please give us a call. 

This form and our contact numbers below are to request an appointment for a second opinion or patient care at SCCA, not to request COVID-19 vaccine appointments. 

To request a second opinion or patient care at SCCA:

Call 1 (855) 557-0555 toll free
TTY Washington Relay Service 1 (800) 833-6388
Fax: (206) 606-1025

This form is a secure and confidential way for us to quickly route you to care. It should take less than three minutes to complete. We will get back to you in 24 to 48 business hours. You may also call us toll-free at (855) 557-0555.

Appointment request form

I am a…

User type

Caregiver details

Name

Patient details

Patient name
Patient gender
Does the patient live in the US or Canada?

Patient diagnostics

Has the patient received a diagnosis?
What is the patient’s status? *
Is your doctor recommending one of the specific options below? If so, please select which one. (optional)

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