Madigan Healthcare System

Headquartered at Madigan Army Medical Center on Joint Base Lewis-McChord, the Madigan Healthcare System is a network of Army medical facilities located throughout Washington, Oregon and California that serve more than 109,000 active duty service members, their families and retirees. Much like its civilian counterparts, the Madigan Healthcare System provides a wide array of medical services, such as general medical and surgical care, patient-centered adult and pediatric primary care, a 24-hour emergency room, specialty clinics, clinical services and behavioral health and wellness services. Madigan is a values-based, standards- driven medical organization providing safe, quality care as part of a dominant power projection platform. Learn more about Madigan at http://www.mamc.amedd.army.mil or "like" us on Facebook by searching for "Madigan Healthcare System Facebook" in your preferred Internet search tool. Locations serving enrolled patients in the vicinity of JBLM include:

• Madigan Army Medical Center, JBLM Lewis Main
• Madigan-Puyallup Community Medical Home, Puyallup
• Madigan-South Sound Community Medical Home, Olympia
• McChord Medical Clinic, McChord Field
• Madigan Annex, JBLM Lewis Main
• Okubo Family Medicine and Dental Clinic, JBLM Lewis North
• Winder Family Clinic, JBLM Lewis Main

While some services at these locations provide walk-in appointments, the majority of services can be accessed through TRICARE by calling the TRICARE Regional Appointment Center (TRAC) at (800) 404-4506 or by visiting http://www.tricare.mil.

More information on TRICARE can be found by visiting the TRICARE office at Madigan Army Medical Center, second floor, or by visiting TRICARE on the Internet. TriWest Heath Alliance, which administers TRICARE in the 21-state West Region, is another excellent resource for information on health care benefits.

Emergencies/Urgent Care
Emergency Room
Madigan's Emergency Room (ER) is available for medical and traumatic emergencies at all times. The ER is accessible via Gardner Loop. Upon arrival, specially trained nurses evaluate each patient to determine those who require the most urgent attention. The degree of urgency, not arrival time, establishes who will be seen first.

Waiting times range from fewer than 30 minutes to five hours or more, and typically increase throughout the day. Evaluation takes 15 to 30 minutes; or up to several hours if laboratory tests, X-rays or other special studies are required. Weekends and holidays are especially busy because most other hospital services and outlying clinics are closed.

Urgent Care
If you have an urgent medical need that does not require emergency care, please call the TRICARE Regional Appointment Center at (800) 404-4506 before coming into the Emergency Room. If you are unable to get a same day appointment for your urgent medical need, you will be referred to an Urgent Care Clinic in a community surrounding Joint Base Lewis-McChord for immediate attention.

Pharmacy Services
Madigan Healthcare System has several pharmacies available on Joint Base Lewis- McChord. These pharmacies are located in Madigan Army Medical Center, on JBLM Lewis Main, JBLM Lewis North and McChord Field. You must have a military ID card for all patients 10 years and older when picking up prescriptions. A photocopy of the patient's ID card may be used to pick up prescriptions.

Madigan Army Medical Center
The Main Outpatient Pharmacy in Madigan Army Medical Center's Medical Mall processes only new prescriptions generated by Madigan Healthcare System providers. Active-duty service members in uniform have priority for picking up prescriptions for themselves and family members. Open Monday through Friday, 7 a.m. to 7 p.m., Saturday 9 a.m. to 5 p.m. and on Madigan training holidays from 8 a.m. to 4:30 p.m. Closed Sunday and federal holidays.

Madigan Army Medical Center also offers two refill options. Patients may refill prescriptions at the walk-up window adjacent to the Main Outpatient Pharmacy or at the drive-though refill pickup window. These sites only dispense refills that have been previously requested through the call-in service at (253) 968-2999 or (800) 544- 3298. Online prescription refill requests are accessible through Madigan's homepage at www.mamc.amedd.army.mil. Refill requests must be made at least three days prior to pickup.

The drive-through refill pickup window, accessible through an entrance on Gardner Loop, is open Monday through Friday, 8 a.m. to 5 p.m. and on Madigan training holidays from 8 a.m. to 5:30 p.m. Closed Saturday, Sunday and federal holidays.

The refill pick-up window, located in the Medical Mall across from the Orthopedic Clinic, is open Monday through Friday, 7 a.m. to 4:30 p.m. Closed Saturday, Sunday and federal holidays.

JBLM Lewis Main
The Winder Clinic Pharmacy provides pharmaceutical care to patients enrolled at the Winder Family Medical and Fulton Dental Clinics. The pharmacy is open Monday through Friday, 7:30 a.m. to 4 p.m., and is closed Saturday Sunday, federal holidays and Madigan training holidays. Call (253) 966-8400.

The Mini-Mall Satellite Pharmacy, located in the JBLM Lewis Main Exchange Mini-Mall complex, fills civilian handwritten prescriptions. This pharmacy is open Monday through Friday, 9 a.m. to 4:30 p.m., and is closed Saturday, Sunday and federal holidays. Active duty service members in uniform have priority when picking up their own prescriptions. Call (253) 966-1106.

JBLM Lewis North
The Okubo Clinic Pharmacy provides pharmaceutical care to patients enrolled at the Okubo Medical and Dental Clinics. This pharmacy is open Monday through Friday, 7:30 a.m. to 4 p.m., and is closed Saturday, Sunday, federal holidays and Madigan training holidays. Call (253) 966-7623.

JBLM McChord Field
The McChord Clinic Pharmacy provides pharmaceutical care to patients enrolled at the McChord Clinic. This pharmacy is open Monday through Friday, 7 a.m. to 5 p.m., and is closed Saturday, Sunday, federal holidays and Madigan training holidays. Civilian prescription drop offs may be made between 9 a.m. and 3 p.m. Call (253) 982-2474 or for refill services call (253) 968-6699.

Puyallup
The Madigan-Puyallup Community Medical Home Pharmacy provides pharmaceutical care to patients enrolled at the Madigan-Puyallup Community Medical Home. The pharmacy is open Monday through Friday, 9 a.m. to 5 p.m., and is closed Saturday, Sunday and federal holidays. Civilian prescriptions and refills (walk-up or call-in) may be processed during regular business hours between 9 a.m. and 5 p.m. Call (253) 477-5084.

Olympia
The Madigan-South Sound Community Medical Home Pharmacy provides pharmaceutical care to patients enrolled at the Madigan- South Sound Community Medical Home. This pharmacy is open Monday through Friday, 8:30 a.m. to 4:30 p.m., and closed Saturdays, Sundays, and federal holidays. Civilian prescriptions and refills (walk-up) may be processed during regular business hours between 8:30 a.m. and 4:30 p.m.

Alternatives
There are a number of alternate sources for filling prescriptions either in an emergency or for convenience: an online pharmacy refill service is offered through TRICARE Online at http://www.tricareonline.com. The TRICARE Retail Pharmacy Network also includes all major chain stores and some private stores in the Northwest. For more information call (866) 363-8779 for details. The TRICARE Mail Order Pharmacy can be reached at http://www.tricare.osd.mil/pharmacy, http:// www.expressscripts.com or by calling (877) 363-1433.

Parking
While parking is available at all Madigan Healthcare facilities, patients and visitors are encouraged to arrive early for appointments and visits, as space becomes extremely limited at all locations during main operating hours.

Unique Programs and Services
Since its opening in 1944 as a temporary hospital for war wounded, Madigan has grown to include a full spectrum of specialty and subspecialty services for adult and pediatric patients to include Developmental Pediatrics, Hematology and Oncology, and Radiation Therapy. While the hospital continues to evolve and expand to meet the health care needs of its patients, it has remained committed to providing safe, quality care, top-notch customer service and progressive deployment medicine while promoting a values-based, standardsdriven culture.

Behavioral Health Programs
The Behavioral Health Clinic at Madigan Army Medical Center is now your one-stop shop f ro all yoru ebh avi oral h e al t hn e eds. Walk-in services are available for all Service Members in the Behavioral Health Clinic, Monday through Friday from 7:30 a.m. to 4:30 p.m. The Behavioral Health Clinic Team provides a patient centered approach that will make it easier and faster for our patients to get the care you need. The Behavioral Health Clinic has one easy to remember number. Call (253) 968-2700 for all Behavioral Health needs.

Child and Family Assistance Center (CAFAC) is a Madigan pilot program that incorporates three existing family-based behavioral health departments - Family Assistance for Maintaining Excellence (FAME), the Child Guidance Clinic and the School-based Behavioral Health Program - into a one-stop shop for family members.

Family Assistance for Maintaining Excellence Clinic (FAME) is a counseling service provided to spouses and children of active duty service members. Parents and spouses who are feeling stressed, depressed or anxious, or children who are struggling with a parent's deployment can receive support without a referral from their primary care providers; walk-in hours available. For more information, call (253) 968-4843.

School Behavioral Health Program (SBH) program provides child and adolescent psychiatrists, psychologists and social workers, who will evaluate and treat military children, providing resilience-based models to students, staff and parents in the JBLM schools.

Behavioral Health liaisons serve as contacts between brigade commanders and Madigan's behavioral health resources to help educate and guide commanders in providing the best behavioral health care possible to Soldiers and family members.

Exceptional Family Member Program
The Exceptional Family Member Program (EFMP) is a mandatory enrollment program that works with military and civilian agencies to provide a comprehensive, coordinated, and multidisciplinary approach for medical, educational and community support services to families with special needs. Soldiers and Airmen on active duty enroll in the program when they have a family member with a physical, emotional, developmental, or intellectual disability requiring specialized services so their needs can be considered in the military assignment process. When possible, active duty service members are assigned to an area where the medical and special education needs of the family member can be met.

Enrollment is available through the EFMP at Madigan Army Medical Center in the Developmental Clinic on the first floor of the Medical Mall. Call (253) 968-1370 or (253) 968-0254.

• Medical enrollment requires a completed Medical Summary, DD Form 2792
• Educational enrollment requires a completed Educational Summary, DD Form 2792-1
• Enrollments must be updated as conditions change or at least every three years.
• Other services at the Madigan EFMP site include enrollment updates, disenrollment, and overseas screenings. Enrollment Forms can be found at the Medical and Educational Forms website at http://www.dior.whs.mil/icdhome/forms.htm

Warrior Transition Unit
In 2007, Madigan activated a Warrior Transition Battalion for wounded, ill and injured Soldiers. Madigan Healthcare System's Warrior Transition Battalion is one of 29 Warrior Transition Units throughout the Army. The WTB provides medical care, advocacy and leadership to active duty, Army National Guard and Army Reserve Soldiers who need complex long-term care. The WTB's primary mission is to assist Soldiers and their families through their healing and transition them back to regular duty or civilian life. Its innovative programs and comprehensive care continue to evolve to meet the physical, emotional and intellectual needs of Soldiers.

The WTB also oversees a Community- Based Warrior Transition Unit that allows Guard and Reserve Soldiers to live with their families and to receive local healthcare in communities not near Army medical facilities. The WTB also shares and partners with the U.S. Department of Veterans Affairs and other governmental agencies to enhance the care and service of Soldiers and families at both national and local levels.

History:
Madigan was named in honor of Colonel Patrick S. Madigan, an assistant to the U.S. Army Surgeon General from 1940 to 1943 who was also known as "The Father of Army Neuropsychiatry." On September 22, 1944, Madigan General Hospital was named in his honor. Designated a medical center in March 1973, Madigan is a values-based, standardsdriven provider of safe, quality patient care; an unparalleled education facility; a state-ofthe- art research platform; practices readiness and deployment medicine, and is an engaged community partner.