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Affiliation Agreement Request Log

Below is a log of Affiliation Agreement (AA) requests Academic Services has received via the Online Data Request Form. These requests include brand new agreements as well as renewals.

Brand new requests will appear on this list once they are entered into our database, not immediately upon submission.

Questions regarding affiliation agreements should be directed to Laura Mason in Academic Services (ljmason@uw.edu, (206) 221-2462).

Academic Services is currently in the process of updating our Affiliation Agreement request system and database. Please bear with us as we implement these improvements to the overall process and management of agreements.

New AA Requests Received

Site Date Received
Artesia General Hospital (Artesia, NM) 3/18/2013
Whidbey Island Internal Medicine (Coupeville, WA) 5/9/2013
Refugee Women's Alliance (Seattle, WA) 5/9/2013
ZoomCare (Seattle, WA) 5/16/2013

Requests Being Reviewed by the Site

Site Last Status Update
Evergreen Women's Care (Kirkland, WA)
Neighborcare (Seattle, WA) 5/9/2013
Peninsula Dermatology (Silverdale, WA )
Port Gamble S'klallam Tribe (Kingston, WA)
Seattle Indian Health Board (Seattle, WA)
Seattle Medical & Rehabilitation Center (Seattle, WA)
Sexual Assault Center of Pierce County (Tacoma, WA)
Sound Mental Health Institute (Seattle, WA) 5/9/2013
Spokane Police Department (Spokane, WA)
Suquamish Tribe (Suquamish, WA)
Woman To Woman Clinic (Mount Vernon, WA)
Youth Care (Seattle, WA)

Requests Being Reviewed by the UW AG's Office

Site Last Status Update
Harrison Hospital Home Care (Bremerton, WA)
Harrison Memorial Hospital (Bremerton, WA)
Kindred Hospital Seattle (Seattle, WA)

Requests Being Reviewed by the School of Nursing

Site Last Status Update
Franciscan Medical Group (Tacoma, WA)
Marys Place (Seattle, WA)
Nell Hodgson Woodruff School of Nursing, Emory University (Atlanta, GA)
Seattle Healing Arts (Seattle, WA)
South Shore Hospital (Weymouth, MA)
Urban Rest Stop (Seattle, WA)
Woman's Hospital of Texas, The (Houston, TX)

Requests Awaiting Site Signatures

Site Last Status Update
Mason General Hospital (Shelton, WA)
Office of Superintendent of Public Instruction (Olympia, WA)
Olympia Pediatrics (Olympia, WA)
Renton Pediatric Associates (Kent, WA)
Seattle Pain Center (Seattle, WA)
Summit View Clinic (Puyallup, WA)
Swedish Hospital Medical Center (Seattle, WA)
University of Washington School of Nursing & Harborview Medical Center Collaborative Project (, ) 2/26/2013
Yakama Indian Health Center (Toppenish, WA)

Recently Established Contracts (Past 3 Months)

Site Effective Date
Betsy Poot Counseling (Private Practice) (Mount Vernon, WA) 3/20/2013
Childrens Hospital Los Angeles (Los Angeles, CA) 4/1/2013
EvergreenHealth (formerly Evergreen Community Health Care) (Kirkland, WA) 4/1/2013
Keep on Dancing Mental Health Services, LLC (Private Practice) (Everett, WA) 3/20/2013
Meadowbrook Urgent Care (North Bend, WA) 4/24/2013
North Seattle Community College (Seattle, WA) 3/14/2013
Northwest Emergency Physicians dba Team Health NW Division (Federal Way, WA) 3/1/2013
Pediatrics for You (Kennewick, WA) 5/8/2013
Psychiatric Wellness and Dementia Care, LLC (Lynnwood, WA) 5/8/2013
Seattle Breastfeeding Medicine (Seattle, WA) 3/21/2013
Therapeutic Health Services (Seattle, WA) 3/27/2013
United Healthcare Services D/B/A Evercare (Seattle, WA) 4/1/2013
Valley Medical Care (Juneau, AK) 3/1/2013
WithinReach (Seattle, WA) 3/21/2013
Woodinville Psychiatric Associates (Woodinville, WA) 3/11/2013