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We at Confluence Health care deeply about our community and all the diverse members that call North Central Washington home. For over a century, providing healthcare has been our mission and focus, and we feel this care should be accessible, affordable, timely, and done with respect and empathy for all.

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We know our LGBTQIA+ neighbors can often face barriers when seeking healthcare, including discrimination, ignorance, and fear. Our goal at Confluence Health is to set a new standard where all patients can expect to have their diverse healthcare needs addressed in a safe environment where they can be honest and vulnerable, allowing them to seek out the medical services they need and deserve without hesitation. Our goal is that every patient knows that their health provider is there for them and all their needs, no matter what.

This commitment to providing a welcoming and understanding healthcare system requires constant work and revision. To maintain this high standard, we’re constantly working to expand cultural competence in caring for LGBTQIA+ patients by providing training for staff to better understand and meet needs, along with supporting a review group that actively works on our internal and external policies to make sure we are meeting the needs of all patients. This reflection and growth model helps us to ensure Confluence Health remains a leader in inclusion and LGBTQIA+ healthcare.

We Pledge

  • To provide high-quality, evidence-based medicine in a respectful, affirming, and culturally-responsive environment-
  • To provide comprehensive primary care, behavioral health intervention and support, speech therapy, social services, select surgical interventions, pharmacy services, infectious diseases services, and education tailored to the unique needs of the LGBTQIA+ community
  • To serve all of our neighbors in their healthcare needs

Wellness Services Provided at Confluence Health

  • Annual exams and cancer screenings of natal organs (pelvic, breast/chest, prostate)
  • Behavioral health, including harm reduction-based mental health counseling and pharmacotherapy support
  • Disease prevention and management
  • Family planning
  • Hormone therapy and puberty blockers (Adult and pediatric)
  • Nutrition
  • Pap smears
  • Pharmacy
  • Referrals and letters for gender-specific services provided outside of organization
  • Safer sex education
  • Screening and referrals for obesity, diabetes, and dyslipidemia
  • STD testing and treatment, including HIV testing and PrEP and PEP access
  • Substance Use Disorder treatment

We’re Here to Help
For more information on specific LGBTQIA+ services available at Confluence Health, or to get plugged into resources available from our partners, please call 509-663-8711.

Our Mission:

  • To achieve and preserve inclusivity for our patients.
  • To achieve and preserve inclusivity for our employees.
  • To expand the comprehensiveness of the care we offer.
  • To partner with our community to serve these goals.

To achieve our mission, we aim to listen to the most important voices: our patients. Our LGBTQIA+ Patient Advisory Council meets virtually every quarter, providing a place for patients and community members to share their stories, knowledge, and opinions to help make Confluence Health even better. If you or a loved one are interested in participating, please contact us at

Click here to learn about House Bill 1272

Tell Us How We Are Doing
Ensuring your comfort and confidence in your care is critical to our mission to serve you in an environment where you feel accepted and safe. If you have an experience - good or bad - that you would like to share, we would love to hear from you so that we can continue to improve the quality of care that we provide. Please provide feedback by emailing

Related Locations
Related Providers LGBTQIA+