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                                                                    <a href="index.html" onMouseOver="document.images['img6'].src='widgets/gen_382.1.gif'" onMouseOut="document.images['img6'].src='widgets/gen_381.1.gif'"><img src="widgets/gen_381.1.gif" alt="Home" name="img6" border="0"></a><br>
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<font face='Arial' size='2' color='#000000'>

<font size="1"><span style="font-style: italic; font-family: Times New Roman;">Carpenter Insurance Northwest is an authorized representative of LifeWise Health Plan of Washington.</span></font>

</font>


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                        <div style="color:#0C567A;font-size:14px;font-family:Impact,Arial,Verdana,Helvetica;margin-left:5px;margin-right:5px;">Apply for LifeWise Online</div></TD>
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                        <div align="justify" style="margin-left:5px;margin-right:5px;margin-top:10px;"><IMG SRC="widgets/gen_350.1.gif" align="bottom"><a href=https://lwwa.inshealth.com/ehi/Alliance?allid=Lif25311&sid=102067 target="_blank"><span style="color:#4E2614;font-size:14px;font-family:Impact,Arial,Verdana,Helvetica;margin-left:4px;">3 Easy Steps to Health Insurance</span></a><br>
                        

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                        <div style="color:#0C567A;font-size:14px;font-family:Impact,Arial,Verdana,Helvetica;margin-left:5px;margin-right:5px;">Lifewise.com</div></TD>
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                        <div align="justify" style="margin-left:5px;margin-right:5px;margin-top:10px;"><IMG SRC="widgets/gen_350.1.gif" align="bottom"><a href=http://www.lifewisewa.com target="_blank"><span style="color:#4E2614;font-size:14px;font-family:Impact,Arial,Verdana,Helvetica;margin-left:4px;">Home</span></a><br>
                        

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                        <div align="justify" style="margin-left:5px;margin-right:5px;margin-top:10px;"><IMG SRC="widgets/gen_350.1.gif" align="bottom"><a href=https://www.lifewisewa.com/lwwa/groups/public/documents/xcpproject/provider_directory.asp target="_blank"><span style="color:#4E2614;font-size:14px;font-family:Impact,Arial,Verdana,Helvetica;margin-left:4px;">Find a Doctor</span></a><br>
                        

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</div>
                        
                        <div align="justify" style="margin-left:5px;margin-right:5px;margin-top:10px;"><IMG SRC="widgets/gen_350.1.gif" align="bottom"><a href=https://www.lifewisewa.com/lwwa/groups/public/documents/xcpproject/formulary.asp target="_blank"><span style="color:#4E2614;font-size:14px;font-family:Impact,Arial,Verdana,Helvetica;margin-left:4px;">Preferred Drug List Search</span></a><br>
                        

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                        <div style="color:#0C567A;font-size:14px;font-family:Impact,Arial,Verdana,Helvetica;margin-left:5px;margin-right:5px;">Forms</div></TD>
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                        <div align="justify" style="margin-left:5px;margin-right:5px;margin-top:10px;"><IMG SRC="widgets/gen_350.1.gif" align="bottom"><a href=https://www.lifewisewa.com/lwwa/groups/public/documents/pdfs/002636.pdf target="_blank"><span style="color:#4E2614;font-size:14px;font-family:Impact,Arial,Verdana,Helvetica;margin-left:4px;">Medical Claim Form</span></a><br>
                        

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                        <div align="justify" style="margin-left:5px;margin-right:5px;margin-top:10px;"><IMG SRC="widgets/gen_350.1.gif" align="bottom"><a href=https://www.lifewisewa.com/lwwa/groups/public/documents/pdfs/C100172.pdf target="_blank"><span style="color:#4E2614;font-size:14px;font-family:Impact,Arial,Verdana,Helvetica;margin-left:4px;">Prescription Drug Reimbursement Form</span></a><br>
                        

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                        <div align="justify" style="margin-left:5px;margin-right:5px;margin-top:10px;"><IMG SRC="widgets/gen_350.1.gif" align="bottom"><a href=https://www.lifewisewa.com/lwwa/groups/public/documents/pdfs/BWX814.pdf target="_blank"><span style="color:#4E2614;font-size:14px;font-family:Impact,Arial,Verdana,Helvetica;margin-left:4px;">Medco Prescription Mail Order Form</span></a><br>
                        

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                        <div align="justify" style="margin-left:5px;margin-right:5px;margin-top:10px;"><IMG SRC="widgets/gen_350.1.gif" align="bottom"><a href=https://www.lifewisewa.com/lwwa/groups/public/documents/pdfs/010155.pdf target="_blank"><span style="color:#4E2614;font-size:14px;font-family:Impact,Arial,Verdana,Helvetica;margin-left:4px;">Add a Family Member Form</span></a><br>
                        

<font face='Arial' size='2' color='#000000'>


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                                                                                <br>

<br>
<FONT FACE="verdana, arial, helvetica" SIZE="1">
<center>
<nobr>|<a href="index.html">Home</A>|</nobr>

<nobr>|<a href="links1.html">Asuris Northwest Health</A>|</nobr>

<nobr>|LifeWise of Washington|</nobr>

<nobr>|<a href="links2.html">Premera Blue Cross</A>|</nobr>

<nobr>|<a href="Download.html">Premera Forms</A>|</nobr>

<nobr>|<a href="links4.html">WDS/Delta Dental</A>|</nobr>

<nobr>|<a href="links.html">Other Links</A>|</nobr>

<nobr>|<a href="contact.html">Contact Us</A>|</nobr>
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