Online provider referral form

To refer a patient to Seattle Cancer Care Alliance (SCCA), you may call (800) 804-8824 or complete the form below. SCCA also offers U-Link, a secure system that allows referring providers access to information about their patients.

Gender of patient
Records for patient will be sent by
Seattle Cancer Care Alliance
Intake Office, K-135
825 Eastlake Ave E.
Seattle, WA 98109
Records should be faxed to:
(206) 606 - 1025
SCCA should...
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