4 Easy Ways PHONE 24 Hours a Day, 7 Days a Week Call 360-814-2424 or 360-629-6481 Call us anytime day or night and leave your detailed course information with your name, address and phone number in our voice mail, or with the scheduler. You will receive a confirmation in the mail.
Class Registration Discounts
Save money on Change Your Life classes (see pages 34-35 for listings, except Women’s Luncheon) Physician Referral Discount - Provide a written physician referral and receive a 20% discount on any Change Your Life classes except the Women’s Health Luncheon. Group Discount - Receive a 10% discount when registering with a group of four or more for any Change Your Life classes. To receive this discount, payment must be received in advance. Senior Discount - If you are age 60
or older, receive a 10% discount on all Change Your Life classes except the Women’s Health Luncheon.
Refund Policy
INTERNET
A full refund will be granted if the class is cancelled or if you cancellation is received at least three working days in advance of the class date.
24 Hours a Day, 7 Days a Week Go to: www.skagitvalleyhospital.org Click on Calendar
Cancellations received within two working days of the class date will be charged a $10 processing fee.
MAIL HealthQuest
Skagit Valley Hospital P.O. Box 1376 Mount Vernon, WA 98273-1376 Fill out this form and include your check or charge card number.
No refund will be given after the class has begun. To request a refund, call 360-814-2424 or in Stanwood/Camano Island call 360-629-6481 or TTY 360-814-2218, then submit a written request to:
FAX
HealthQuest
24 Hours a Day, 7 Days a Week 360-814-8222 Complete this form and fax it to the number above.
Skagit Valley Hospital P.O. Box 1376 Mount Vernon, WA 98273-1376
Registration Form
Please complete the following information (use one copy for each participant - feel free to duplicate this form or register on our Web site, www.skagitvalleyhospital.org and click on HealthQuest)
CLASS or SCREENING
DATE
FEE
TYPE OF PAYMENT (Please do not send cash) Check (make checks payable to SVH-HealthQuest) Mastercard
Subtotal: Less 10% discount (see Discounts above / only one discount per person) Total amount enclosed: Name:________________________________________________________________________ Address:______________________________________________________________________ City, State, Zip Code:_ ___________________________________________________________ Day Phone:___________________________ Home Phone:_______________________________ E-mail address:________________________________________________________________
VISA
Credit Card Number: ____________________________________ Expiration Date:________________________ Signature: ____________________________________
Questions on Registration?
Call Skagit Valley Hospital at 360-814-2424, from Stanwood and Camano Island call 360-629-6481 or for hearing impaired, please call TTY 360814-2219
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