Resources for Project Access® Providers and Practices
Click on the links below for forms and information:
Participating Practices- current as of October 2021: please ONLY refer to practices on this list.
Project Access® online referral form- link to a Jotform page; for clinic use ONLY
Project Access® printable referral form -for clinic use ONLY
Example referral form
Project Access® Information for Clinics - comprehensive information sheet for clinics, including info for clinical staff, providers, schedulers and billing staff
Handout for referred patients- English
Handout for referred patients- Spanish
How we can help with non-medical needs- a list of organizations we work with to assist patients with needs related to social determinants of health (SDOH)
2021 Project Access® Pledge Form- link to a Google form where you can sign up your practice to donate visits
Website Registration Form- to gain access to the Verify Enrollment Portal
Business Associate Agreement
Preferred Medication Prescription List- updated January 2021
Prescription Discount Drug Card
Do you need to schedule an interpreter for a patient?
Contact the WCMS Interpreter Network (WIN) at 828-274-0950 or firstname.lastname@example.org
Are you interested in becoming a volunteer provider for Project Access®?
Providers pledge an annual committment to the program. This is a number of patients to see throughout their course of care as oppposed to a number of visits. The pledge amount can be for the practice as a whole, or individually by provider. and can be per month or for the year.
Providers and practices are not reimbursed for these visits. All care, supplies and staff time is donated.
We can provide our tax ID if you require it for your records.
Please send us a claim for each Project Access® visit so that we can keep track of kept appointments. We can provide a quarterly count to each office to monitor referrals- let us know if you would like this report.
Thank you to our incredible volunteer providers, practice managers, clinical staff, schedulers and billing teams- Project Access® is only possible because of your generosity!
To contact our Health Access Coordinator team, who work with applicants, verfications, referrals, denials and other daily Project Access® operations, please contact us at
828-274-6989 or email@example.com