Financial Forms

Questions?
If you have any questions regarding these forms or would like to check the status of your bill, please contact the Patient Financial Services Department, Monday through Friday, 8:00 a.m. to 4:00 p.m. at 206-521-1616 or toll free at 866-245-4373. You may also contact us by email at PatientSvcs@Airliftnw.org.

Quick links to important forms.

• Notice of Privacy Practices
• Health Insurance Questionnaire
• Accident Injury Questionnaire
• Confidential Financial Statement
  

Kyle Preston
Wenatchee, Washington
When 16-year-old Kyle Preston got behind the wheel to drive to his first full day of work at a local golf course last summer, he learned a powerful and painful lesson. A late night left him simply too tired to drive. He drifted off to sleep, and his car crossed the center line into the path of an oncoming semi-trailer truck.
(more of the story…)