Partnership Access Line Triptych

The Partnership Access Line (PAL) supports primary care providers (doctors, nurse practitioners and physician assistants) with questions about mental health care such as diagnostic clarification, medication adjustment or treatment planning. Our child and adolescent psychiatrists are available to consult during business hours.

PAL is available to providers caring for any patient in Washington and Wyoming. This consultation program is funded by Washington’s Health Care Authority and Wyoming’s Department of Health. The phone consultation is covered by HIPAA, section 45 CFR 164.506; no additional release of patient information is required to consult by phone.


  • Washington providers: Call 866-599-7257 Monday–Friday, 8 a.m. to 5 p.m. Pacific time, to be directly connected to a PAL child and adolescent psychiatrist.
  • Wyoming providers: Call 877-501-7257 Monday–Friday, 9 a.m. to 6 p.m. Mountain time, to be directly connected to a PAL child and adolescent psychiatrist.

Provider Resources

Care guides

PAL publishes Primary Care Principles for Child Mental Health yearly. This guide is based on current evidence in the literature about mental health treatments in children. It is a digestion of current knowledge into focused practical points for the primary care physician.

Upcoming events for primary care providers in Washington and Wyoming

Providers can attend Category I CME mental health conferences free of charge.

Additional Psychiatric Services We Offer

  • Medication reviews – Alaska, Washington and Wyoming
    • Second-opinion medication reviews are requested from the state when psychiatric medication is prescribed outside of guidelines set by each state.
  • Wyoming Multidisciplinary Team (MDT) telemedicine psychiatric evaluation  

Meet the Team

The PAL team consists of child and adolescent psychiatrists affiliated with the University of Washington School of Medicine and Seattle Children’s Hospital. In addition, PAL has a master’s-level social worker who can assist with finding mental health resources for patients with any type of insurance (state-funded, private or no insurance).