Contact Billing
We welcome your suggestions, ideas, comments and feedback.
Use the form below to send an email directly to Patient Financial Services. A Virginia Mason billing representative will contact you within two business days.
Contact Information
Your Name:
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Relationship to Patient:
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Contact Phone Number:
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Email Address:
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Preferred Method of Contact:
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Preferred Method of Contact:
Email
Phone
Patient Information
Account Number:
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Patient's First Name:
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Patient's Last Name:
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Patient's Date of Birth:
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Address 1:
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Address 2:
City:
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State:
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AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
Zip Code:
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Comments/Questions
Topic:
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Billing
Insurance
Estimate
Other
If Other, please specify:
What is your comment or question?
I understand email is not a secure medium for sending or receiving sensitive health care or other personal information.
Although, communications between patient and provider are subject to legal confidentiality requirements, Virginia Mason cannot assure the confidentiality or protection of email communications.
I understand I may choose to not use email and may contact Virginia Mason directly with my billing inquiries at (206) 223-6601 or Toll Free: (800) 553-7803.
I understand the email information described above and authorize Virginia Mason to respond to the email sent by me.
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I understand the email information described above and authorize Virginia Mason to respond to the email sent by me.
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