• When can I call the PAL line?

    You may call any time during business hours, listed below, to receive a live answer. You may call to leave a message any time outside business hours, and your call will be returned on the next business day.

    • Washington PAL is available 8 a.m. to 5 p.m. Pacific time at 1-866-599-7257.
    • Wyoming PAL is available 9 a.m. to 6 p.m. Mountain time at 1-877-501-7257.
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  • Which holidays is the PAL line closed?

    In 2016, the PAL line will be closed on the following dates:

    • New Year's Day, Friday, January 1
    • Martin Luther King, Jr. Day, Monday, January 18
    • Presidents Day, Monday, February 15
    • Memorial Day, Monday, May 30
    • Independence Day, Monday, July 4
    • Labor Day, Monday, September 5
    • Thanksgiving, Thursday, November 24
    • Day after Thanksgiving, Friday, November 25
    • Floating holiday, Friday, December 23
    • Day after Christmas, Monday, December 26
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  • Can families call the PAL line?

    No. The PAL line is designed to be a consult service for PCPs only. Consulting with families directly is outside the scope of our service, and families will be redirected to their PCP for assistance.
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  • What information will I need when I call?

    Primary care providers will need to provide the following information:

    • Name, title and name of practice
    • Contact information: telephone and fax numbers
    • Patient demographics
      • Full name and spelling
      • Date of birth
      • Insurance coverage (including DSHS plans)
      • Foster care status (yes, no, former)
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  • Will I have to give all of this information every time I call?

    No. Provider demographic information is only needed the first time you call (unless your information has changed). Patient demographics are collected each time you call to consult about a new patient. However, if you are calling back about a patient for whom you previously consulted with PAL, we will not need to re-collect information.
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  • Can I arrange for a specific callback time from the PAL team?

    Yes. You may call and let our administrative team know who you are calling about and that you would like one of our consultants to call you at a specific date, time and/or number. If you reach our voicemail, you may also specify a desired callback time, and we will do our best to call back as requested.
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  • Can my office staff or nurse call ahead and set a time for my PAL consultation?

    Yes. Please have your staff call and state that they would like to arrange a time for you to consult with a PAL psychiatrist. We will ask them for your contact information and for your patient’s demographic information.
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  • Do I need to get my patient’s consent before calling PAL?

    No, you do not need patient authorization or consent to call PAL. This is due to the following:

    • No bill or payment is collected for a PAL call. Therefore, no financial consent is needed.
    • Provider-to-provider consultation is covered within the boundaries of the Health Insurance Portability and Accountability Act (HIPAA).
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  • I have pertinent medical records that I want the PAL psychiatrist to see. How can I send those to you?

    You may fax pertinent records to 206-987-3266, Attn: PAL Program.
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  • My patient told me they are having suicidal thoughts/feelings. Is it appropriate to call PAL about this patient?

    No. PAL is a consultation line, not a crisis line. If your patient is having suicidal ideations and is currently in crisis, please call 911. However, if your patient is having suicidal thoughts and is not in imminent danger, our PAL consultants are available to discuss best practices for treatment and support.
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  • I want to get my patient admitted to Seattle Children’s inpatient or outpatient unit. Can the PAL line support me to do this?

    The PAL team will provide you with all the information you need to make appropriate referrals. However, our assistance does not expedite or change the admit process for Seattle Children’s Department of Psychiatry and Behavioral Medicine, despite our affiliation with the hospital.

    To access Seattle Children’s behavioral health outpatient intake line directly, call 206-987-3560. All psychiatric inpatient referrals to the Psychiatry and Behavioral Medicine Unit (PBMU) must go through your local Emergency Department.

    See full referral instructions.

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  • What documentation will the primary care physician receive after consulting with a PAL psychiatrist?

    A follow-up letter will be faxed within one to two days summarizing the PAL psychiatrist’s recommendations for your patient. If a social work referral is requested (for local resources), the PAL social worker will fax the referral within five business days. If referral information is required sooner, please let us know so we can expedite this process for you.

    If a patient is seen for an appointment, whether in person or via telemedicine, you will receive a faxed detailed report no later than 10 business days after the appointment.

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  • I’m interested in having my patient seen for a consultation appointment. How does this process work?

    This service is only available for Medicaid and managed care plan patients. The process starts with a PAL consultation call with the primary care physician. During your call, the PAL consultant will determine if the patient qualifies for a one-time appointment. These cases typically include diagnostically complicated patients and/or patients with very little or delayed access to ongoing services. The PAL team recognizes that a child is often best served by initiating appropriate consistent care in their own community, and will seek to link families with those services. PAL psychiatrists serve only in a consultation capacity and will not take over care or prescribe medications.
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  • What locations are available for in-person and telemedicine appointments in Washington state?

    • In-person: Seattle
    • Telemedicine: Longview, Olympia, Richland, Wenatchee
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  • What locations are available for telemedicine appointments in Wyoming?

    • Afton Department of Family Services
    • Buffalo Department of Family Services
    • Casper Department of Family Services
    • Casper Juvenile Detention Center
    • Catholic Charities of Wyoming
    • Cheyenne Department of Family Services (East Pershing)
    • Cody Department of Family Services
    • Patton Place Counseling
    • Douglas Department of Family Services
    • Dubois K-12 School
    • Evanston Department of Family Services
    • Gillette Department of Family Services
    • Jackson Department of Family Services
    • Lander Department of Family Services
    • Laramie Department of Family Services
    • Park County Detention Center
    • Rawlins Department of Family Services
    • Riverton Department of Family Services
    • Rock Springs Department of Family Services
    • Sweetwater County Detention Center
    • Sheridan Department of Family Services
    • Specialty Counseling and Consulting
    • Thermopolis Department of Family Services
    • Wheatland Department of Family Services
    • Worland Department of Family Services
    • Wyoming Behavioral Institute
    • Wyoming Boys' School
    • Wyoming Girls' School
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