Get Project Access Application Packet - Spokane County Medical Society - Spcms

Completing the Project Access Application Packet online is an essential step for individuals seeking access to necessary medical services provided through the Spokane County Medical Society. This guide will help you navigate the application process with clarity and support.

Follow the steps to successfully complete your application.

1. Click ‘Get Form’ button to download the Project Access Application Packet and open it in your preferred editor.
2. Begin by filling out personal information, including your first name, last name, date of birth, and contact information. Confirm your residency status in Spokane County.
3. Provide details about your referring clinic and healthcare provider. This includes the name of the clinic and your primary care provider's information.
4. Complete the health information section, which includes details about any emergency room visits within the past twelve months and current medications.
5. Fill out the household information section carefully. This requires you to list all members of your household who are legal dependents.
6. Accurately report your financial information. Ensure that you provide your gross monthly income and indicate any assets owned by your household.
7. Declare your circumstances by filling out the Circumstance Declaration Form. Here, explain your financial situation and any living expenses relevant to your application.
8. Attach the required supporting documentation mentioned in the application. These include proof of identity, residency, and income.
9. Review and sign the application to certify that all information is true and complete. This is crucial for the processing of your application.
10. Finally, save your changes, then download, print, or share the completed application form as necessary.

Start filling out your Project Access Application Packet online today to access vital medical services.