International Medical Services
Patient Intake Form
- Phone: +1 206-987-1700
- Fax: +1 206-987-3820
- Email: email@example.com
- Mail: IMS, 4500 Sand Point Way NE, Suite 100, Seattle, WA 98105, USA
Seattle Children’s Hospital welcomes international patients. To provide the best care for your child, we will carefully review your child’s medical records to choose the best treatment and care.
Please complete this form and submit it with the medical records (translated into English) and supporting documents listed below. Once the form and records have been received, we will collect a fee of $200 to have the records reviewed by one of our specialists to provide an opinion. If you need help or have other questions, our staff is here to help.
Seattle Children’s Hospital is not able to donate care for international patients or for sponsoring organizations who wish to bring their children to the United States for medical care. Each patient’s family is responsible for all non-medical related costs, including lodging, food, travel and transportation.
Read our privacy notice.