Registration, After-Hours Care, and Other Frequent Questions


Caregivers and community members have been adjusting to new services and processes since PeaceHealth Peace Island Medical Center opened on Nov. 26. To better serve you, we have been tracking the most frequently asked questions and are providing answers to each of these below. 

Q: What happened to the Saturday clinic?
The Saturday clinic that InterIsland Medical Center used to provide was discontinued a few months ago to allow those practitioners training time for their transition to Peace Island. At this time Peace Island is not resourced to staff a weekend clinic; however, we are recruiting for another fulltime family practitioner. 

Q: What if I need care on the weekend?
Peace Island nurses and physicians are available on-call over the weekend to provide care via the Emergency Department ​(ED). Some are concerned that care through the ED is much more expensive. However, the cost is comparable (lowest likely ED visit cost is approximately $167, while the most common InterIsland Medical Center (IIMC) Saturday clinic fee bill totaled $165. (The difference is likely to be the co-pay, which was around $20 at IIMC but for hospital-based care is closer to $100, with insurance.)

Q: Why is it taking so long to register for a clinic appointment?
We have heard from patients that their check-in or registration, which used to take just a few minutes at IlMC, is taking significantly longer. First-time visitors are experiencing longer-than-normal registration times, as information is loaded into a new system by new caregivers at a new location. On subsequent calls or visits, patients should experience a much quicker registration process.

Q: How do I make an appointment with my doctor at the clinic?
To schedule a routine appointment with your Physician or Nurse Practitioner call the main Peace Island Medical Center phone number at 360-378-2141. Monday through Friday between 7:30 a.m. and 5 p.m. we will route you to a scheduler.  At night and over the weekend you can call the same phone number and we will route you to the Clinic voicemail box and your message will be received and responded to the following business day.

Q: How do I get my prescriptions refilled?
Call your pharmacy first to request a refill.  It may take between 48-72 hours to process a refill and you may need to be seen by your physician before a refill can be written.  Don’t hesitate to call the clinic, before your medications run out, to find out if you will need to be seen.

Q: My doctor put in an order for a lab test. How do I schedule that?
Labs will be drawn at the clinic on a walk-in basis.  Between 8 a.m. and 4:30 p.m., Monday through Friday, come to the clinic, check-in and you will be seen on a first-come, first-served basis.

Q: My doctor put in an order for imaging.  How do I schedule that?
For X-ray, we accept walk-in appointments.  Check-in at the clinic Monday through Friday between 8 a.m. and 4:30 p.m. and our radiology technologist will see you on a first-come, first-served basis. Ultrasound, Treadmill, CT Scan and Bone Density Scans are performed at Peace Island Medical Center and are scheduled through the PeaceHealth Central Scheduling department.  Once your doctor places an order for any of these services, call 1-360-788-6345.  Mammography will also be performed at Peace Island Medical Center through a cooperative agreement with Mount Baker Imaging.  After your doctor places an order for your mammogram, call Mount Baker Imaging at 360-733-0430.

Q: Where should I go for emergency medical care? Routine care?
You should use the hospital emergency department for very serious or life-threatening problems, not for common illnesses or minor injuries. If you are experiencing any of the following symptoms, DO NOT WAIT: call 911 or get to the medical center as quickly and safely as possible.  
  • Chest pain
  • Severe abdominal pain 
  • Coughing or vomiting blood
  • Severe burns
  • Deep cuts or bleeding that won’t stop
  • Sudden blurred vision
  • Difficulty breathing or shortness of breath
  • Sudden dizziness, weakness, or loss of coordination or balance
  • Numbness in the face, arm, or leg
  • Sudden, severe headache (not a migraine)
  • Seizures
  • High fevers
  • Any other condition you believe is life-threatening 
For routine health exams, treatment of common illnesses and minor injuries make an appointment with your primary provider.  Call the clinic at 360-378-2141 for:
  • Common illnesses such as colds, flu, earaches, sore throats, migraines, fever and rashes
  • Minor injuries such as sprains, back pain, minor cuts and burns, minor broken bones or minor eye injuries
  • Regular physical exams, prescription refills, vaccinations and screenings
  • A health problem where you need advice
Q: What days will the Clinic be open?
The Clinic is open Monday through Friday, 8 a.m. to 5 p.m.  The facility is closed in observance of the following holidays:
  • New Year’s Day
  • Memorial Day
  • Independence Day
  • Labor Day
  • Thanksgiving Day
  • Day after Thanksgiving
  • Christmas Eve
  • Christmas Day
Q: Who should I call for after-hours help?
If you have a serious or life-threatening problem, call 911. For your safety, it is our policy at Peace Island Medical Center not to give out medical advice over the phone. Many insurance companies have a 24/7 nurse help line to help you decide where to go for after-hours care. The list below may guide you.
  • Aetna
: (800) 556-1555
  • Amerigroup:
 (866) 864-2544
  • Community Health Plans of Washington (Basic Health, Healthy Options/CHIP, Medical Care Services, Washington Health Program, Medicare Advantage): 
(866) 418-1002 (nurse advice line) or 
(866) 418-1006 (TTY for speech and hearing impaired)
  • Coordinated Care: 
(877) 644-4613
  • Group Health Cooperative: 
(800) 297-6877
  • Molina (Basic Health, Healthy Options, Medicaid):
(888) 275-8750 (English) or 
(866) 648-3537 (Spanish)
  • Premera Blue Cross
: (877) 728-9020
  • United Healthcare Community Plan: 
(877) 543-3409
Those with other insurance carriers should check their insurance cards for information.

Q: What services are provided at Peace Island Medical Center?
Q: What is a Critical Access Hospital?
Critical Access Hospitals (CAHs) receive cost-based reimbursements from Medicare and ensure delivery of quality health care in rural communities.  CAH is a designation met by defined criteria and is outlined by the Conditions of Participation which include, but are not limited to:
  • Inpatient care, laboratory, radiology; some ancillary support, part-time and off site. 
  • No more than 25 acute care beds (PIMC is a 10-bed facility)
  • Part-time dietitian, pharmacist, lab technologist and radiological technologist  
  • Patient hospitalization no longer than an average of 96 hours, and;
  • Provide 24/7 Emergency Room care staffed with local physicians and RNs

For more information, these resources are recommended: