Attachment 1 - PWS Exhibit G - MTF Specialty Referral Notification Letter.pdf
PDF 62 KB Posted
- Solicitation number
- HT941026R2001
- Issued by
-
Defense Health Agency
About this file
This is a patient notification letter from the Defense Health Agency's Pacific Integrated Referral and Appointing Center dated February 12, 2026. The letter serves as a reminder to the patient (MS/MR. Good) regarding an active specialty care referral written by their healthcare provider for treatment at Madigan Army Medical Center. Multiple contact attempts have been unsuccessful in scheduling the appointment.
The patient is directed to contact the Pacific Integrated Referral Management and Appointing Center at 1-800-404-4506 to either schedule the specialty care appointment or cancel the referral if no longer needed. Operating hours are Monday through Friday 6 a.m. to 8 p.m. and Saturday through Sunday 7 a.m. to 5 p.m. The specialty care referral maintains validity for 120 days from initiation by the healthcare provider, after which it will be automatically canceled if no action is taken. The letter is signed by the Pacific Integrated Referral and Appointing Center and includes a notice that patients who received the letter in error should contact their clinic.
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Text version
Referral & Appointment Center Letter – Specialty Referral Reminder Date: 02/12/2026
Healthcare Operations
DEFENSE HEALTH AGENCY
9040 JACKSON AVENUE
TACOMA, WASHINGTON 98431-1100
Recipient
MS/MR. Good
12345 PLUTO ST
ORLANDO, FL 12345-1235
Dear Patient, The purpose of this letter is to remind you of a Specialty Care referral written by your provider to a specialty clinic at Madigan Army Medical Center. We have made multiple attempts to contact you to schedule an appointment but have been unsuccessful in reaching you.
Action Required
If you still need this Specialty Care, please call the Pacific Integrated Referral Management and Appointing Center at 1-800-404-4506, Monday–Friday 6 a.m.–8 p.m., and Saturday–Sunday 7 a.m.–5 p.m. to schedule your appointment.
If you no longer desire this Specialty Care, please contact the Pacific Integrated Referral Management and Appointing Center at 1-800-404-4506.
Your Specialty Care referral is valid for 120 days from the day it was initiated by your healthcare provider. If no action is taken within 120 days, this specialty care referral will be automatically canceled.
Thank you for choosing the Military Health System for your healthcare needs.
Sincerely, Pacific Integrated Referral and Appointing Center
If you received this message in error, please contact your clinic.
File details come from the government source that posted it. Updated .