The following links are for Northwest Hospital & Medical Center (NWHMC) affiliated medical staff. A valid NWHMC logon and password is required.
- Email Only (Outlook Web Access)
- Full Extranet Services ** Extranet TIPS
- Credentialing: Initial Application Process
The following links are for authorized staff at Northwest Hospital & Medical Center (NWHMC). Management pre-approval for staff use is required.
New Hire Forms
- Federal W-4 Form
- I-9 Form
- Direct Deposit Enrollment Form
- Supplementary Employee Information
- Employee Confidentiality Agreement
- New Hire EEO and AA Information
- Employee Health History Questionnaire
- Employee Health Records Request
IT Provisioning Forms
Send Authorized Forms to ITProvisioning@nwhsea.org
UW Medicine and Affiliates
- Manager Authorization for Remote Soarian View-Only Access
- Manager Authorization for UW Medicine Employees and Affiliated Organizations
Contractors and Students
- Manager Authorization for Contractors, Students and Outside Organizations
- Background Authorization Form
- UW Privacy, Confidentiality and Information Security Agreement
- Vendor and Contractor Expectations
Benefits Open Enrollment
Open Enrollment is available through Tuesday, November 24, 2015 at 10pm
- TO ENROLL – CLICK HERE
Or visit the BenefitSolver online enrollment system at www.benefitsolver.com from any computer with internet access. Logon to review your current elections, make changes, add new benefits or enroll in an FSA.
If you haven’t visited the website before, click on “Register” on the right side of the Welcome page.
The Company Key is “NWH” in capital letters. If you can’t remember your password or user name for BenefitSolver, click on “Forgot your password?”
- 2016 Open Enrollment for Northwest Hospital Union Employees
- 2016 Open Enrollment for Northwest Hospital Non-union Employees
- COBRA Rights Initial Notice
- Creditable Coverage Disclosure Notice
- HIPAA Notice of Privacy Practice
- Women’s Health & Cancer Rights
For technical questions or concerns, please contact the Helpdesk.** Please note – Only Internet Explorer 5.5 or 6 on Windows 2K or XP or Mac is fully supported to run all the applications on the Extranet. Neither IE 7 nor MS Vista is currently supported. Contact the Helpdesk for access the Northwest Hospital Extranet.