Requests
Ready to Get Started?
If you want to enroll in one of our programs, please call us at (509) 559-3100 to talk through your specific situation or submit a general request, linked below.
The form can be used to request any and all of our services. You may qualify for multiple programs, depending on your unique needs.
If you prefer to talk to one of our compassionate staff members, we encourage you to call us directly so we can help.
Excelsior offers programs for children, youth and adults looking for mental health counseling, primary care, medication management, and Respite care. Additionally, we have specialized services to respond to individuals and families experiencing frequent hospitalizations, interactions with law enforcement, or involvement with child protective services.
We serve all individuals within the City and County of Spokane regardless of their ability to pay.
Need financial assistance?
Excelsior utilizes a sliding fee discount program to ensure person-centered care, improve access to care and assure that no person is denied services due solely to an inability to pay.
Get Access To Your Records
Keeping track of all your family’s records can be a full time job. If you need copies of your health information and documents for your records, please submit a records request by filling out the form below.
Release of Information
If you need to provide information to a member of your care team or would like us to share information with another provider, please complete our release of information form below. Contact phone number for records: 509-559-3152









