Enrolling in ConcertoCare In-Home Primary Care in Washington State is easy.

Here’s how to get started...
Please Note:

The forms on this page are for enrolling in ConcertoCare's In-Home Primary Care service in Washington state. If you are interested in signing up for ConcertoCare's In-Home CarePartners program or live in a different state, please use our general enrollment inquiry form.

Enroll Online

Choose one of the appropriate online forms below, complete
all information and upload attachments.
PATIENT

If you are a Patient providing your own consent to treatment:

Patient Consent
POA/Guardian

If you are a POA / Guardian consenting on behalf of a Patient:

POA/Guardian Consent

Enroll by email, fax, or mail

1

Download and complete enrollment packet.

  1. Fill out the enrollment packet completely (typed or handwritten in blue or black ink)
  2. The Patient, POA, or Guardian must sign all required fields
Download
2

Gather all required documentation.

In addition to your completed enrollment packet, you must provide the following in order for us to complete the enrollment and schedule a visit:
  1. Copy of Insurance Card(s)
  2. Current Medication List – Request the most up to date list from patient's pharmacy
  3. POA/Guardianship documents (if applicable)
3

Send all documents to ConcertoCare.

  • Fax: 206-694-2291
  • Mail:
    Attn: ConcertoCare Enrollment 6811 S. 204th Street
    Suite 280
    Kent, WA 98032
Please Note:

The enrollment process generally takes a few days but can take up to 14 business days; once complete, the patient will be scheduled to be seen at the provider's next visit to the community or residential area.

The patient will continue with their current primary care provider until seen by Concerto Care.

Please contact us if you have questions regarding enrollments at 888-674-5871 or by email at enrollment@concertocare.com.