After Hours & Urgent Care & Emergency Care

If this is an emergency, don't wait for us, call 911 or go to the nearest emergency room

Mental health crisis: Call or text 988, 24/7 · You can also chat at 988lifeline.org

Poison, overdose, or accidental ingestion: Poison Control 1-800-222-1222 · 24/7 

In Clark County WA: if you call 911, ask for the 911 Nurse Navigator. It's free, and a nurse can help you figure out what level of care you actually need.

We are not able to respond to emergencies. 

Our providers do not monitor the portal, phone, text, or email after hours.

Where Should I Go?

Call 911 right now if: you have signs of a stroke or heart attack, you're struggling to breathe, someone can't stay awake, someone's lips or tongue look blue or gray, there's uncontrolled bleeding, or you or someone else is in immediate danger.

Go to an emergency room if: you have severe pain, severe bleeding, a high fever with other worrying symptoms, you can't keep fluids down, you're too sick to take care of yourself, you or a loved one are having suicidal thoughts you are concerned you may act on, or you've experienced sexual assault.

Urgent care is usually enough for: a possible broken bone or dislocation, sprains, cuts that may need stitches, animal bites, minor burns, most work injuries, or an illness that isn't severe but can't wait until we're open.

Not sure? Call one of the free 24-hour nurse lines below. If you're still unsure after that, go be seen. It's always okay to get checked.

Find a facility near you: LSH Urgent Care and ER Finder - a free tool that helps you locate an urgent care or emergency room close to you.

Use our Free Urgent Care and ER Finder App! 

Emergency rooms near you

All of these are open 24 hours a day, every day

Clark County, WA

PeaceHealth Southwest Medical Center 400 NE Mother Joseph Pl, Vancouver, WA 98664, 360-514-2000 · Directions & info

Legacy Salmon Creek Medical Center 2211 NE 139th St, Vancouver, WA 98686, 360-487-1000 · Directions & info

Cowlitz County, WA

PeaceHealth St. John Medical Center 1615 Delaware St, Longview, WA 98632 360-414-2000 · Directions & info

Multnomah County, OR

Legacy Emanuel Medical Center 2801 N Gantenbein Ave, Portland, OR 97227 503-413-2200 · Directions & info

Legacy Good Samaritan Medical Center 1015 NW 22nd Ave, Portland, OR 97210 503-413-7711 · Directions & info 

OHSU Hospital 3181 S.W. Sam Jackson Park Road Portland, Oregon 97239 · Directions & info

Adventist Health Portland 10300 SE Main Street, Portland, OR 97216 503-257-2500  · Directions & info

Providence Portland Medical Center 4805 NE Glisan St, Portland, OR 97213 503-215-1111 · Directions & info

A note about imaging

If you may need a CT scan, detailed imaging of internal organs like the appendix, kidneys, or brain, most urgent care clinics can't do that. You'll need an emergency room.

The urgent care clinics in the Portland/Vancouver area we know of that offers CT is ZoomCare Super, Lloyd District in Portland and Vital Care Urgent Care in Battle Ground. Many other urgent cares offer X-ray and ultrasound, which can check for a broken bone or some other problems, but don't show the same level of detail.

Mental Health Crisis

You deserve care that treats you with respect. 

• 988 Suicide & Crisis Lifeline · Call or text 988, or chat online · Free, confidential, 24/7

• Trans Lifeline · 877-565-8860 · Peer support staffed by trans people.

• The Trevor Project (LGBTQ+ youth and young adults) · 1-866-488-7386 or text START to 678-678

• Cascadia Mental Health Urgent Care  · 4212 SE Division St #100, Portland, OR 97206 (503) 963-2575  Monday-Friday  7 a.m-10:30 p.m · More Information

• Lifeline Connections Crisis Wellness Center  · 5197 NW Lower River Rd., Vancouver, WA 98660 (360) 469-1720  · More Information

• Unity Center for Behavioral Health · 1225 NE 2nd Ave, Portland, OR 97232 503-944-8000 · Oregon's dedicated psychiatric emergency service, open 24/7 · Walk-ins accepted for adults 18 and older ·  More information

• Clark County Crisis Line · 800-626-8137  · 24/7

• Multnomah County Crisis Line · 503-988-4888 · 24/7

• Washington County Crisis Line · 503-291-9111 · 24/7

• Clackamas County Crisis Line · 503-655-8585 · 24/7

If you or someone you're with is in immediate danger, call 911 or go to your closest emergency room.

Free 24-hour Nurse Lines

A nurse line is a good first call when you're not sure whether something can wait. These are free to you.

In Clark County WA: if you call 911, ask for the 911 Nurse Navigator. It's free, and a nurse can help you figure out what level of care you actually need.

If you have private or employer insurance: most plans include a free 24-hour nurse line. Look on the back of your insurance card.

If you have Washington Apple Health (Medicaid): your plan has a free 24-hour nurse line.

• Community Health Plan of Washington - 1-866-418-2920 

• Coordinated Care - 1-877-644-4613

• Molina Healthcare 1-888-275-8750

• United Healthcare 1-877-543-3409

• Wellpoint 1-866-864-2544

Symptoms that need care right away

This list isn't complete, and it isn't a diagnosis. If you're worried, get checked. Trust yourself.

Call 911 now

• Signs of a stroke - weakness on one side of the body, drooping face, slurred speech, sudden confusion

• Chest pain or a racing, pounding, or skipping heartbeat (over 120 beats per minute), especially with trouble breathing, weakness, dizziness, sweating, jaw pain, or vomiting

• Serious trouble breathing

• Blue or gray lips, tongue, or mouth

• Overdose with any of: trouble staying awake, breathing problems, confusion, nonstop vomiting, blue lips

• A seizure that is new, longer than usual, or repeating

• Uncontrolled bleeding

• Thoughts of harming yourself or someone else, when you don't feel safe right now

Go to an emergency room

Brain and mental health

• Confusion - not knowing where you are or what's happening

• Hallucinations (seeing or hearing things others don't)

• A sudden drop in your need for sleep, or reckless behavior putting you or others at immediate risk

• Being unable to care for your basic physical needs because of mental health symptoms

• Drug use that puts your safety or someone else's at immediate risk

• A severe headache that stops you from functioning, especially with a stiff neck, vomiting, or sensitivity to light or sound

• A migraine lasting more than 5 days

Heart and lungs

• New or worsening shortness of breath, especially if it's stopping you from doing things you normally do

• New or worsening chest pain or palpitations

• Cold or flu symptoms in an adult with any of: fever over 103°F that doesn't come down with fever-reducing medicine, shortness of breath that isn't from a stuffy nose, chest pain that isn't from coughing, urinating much less than usual, blue lips or tongue, trouble staying awake, or not being able to keep liquids down

• Blood pressure over 180/120 with any of: chest pain or tightness, shortness of breath, unusual fatigue, palpitations, urinating less, confusion, weakness, or stroke symptoms

Stomach, pelvis, and genitals

• Vomiting or diarrhea more than 5 times in 24 hours with any of: not being able to keep fluids down, heart rate over 100, feeling faint, confusion, sunken eyes, no tears, or a dry mouth

• Moderate to severe stomach or pelvic pain that stops you from doing things — especially with fever, vomiting, weakness, or confusion

• Heavy menstrual bleeding - soaking a pad or tampon every hour for several hours, passing large clots, or bleeding with dizziness, fainting, shortness of breath, chest pain, or significant weakness

• Vomiting blood, or blood in your stool - more than 1 to 2 tablespoons of bright red blood, or stool that's dark, tarry, or looks like coffee grounds. Especially with abdominal or pelvic pain.

• A urinary tract infection with any of: fever, new or worsening low back pain, a lot of blood in your urine, flu-like symptoms, weakness, vomiting, or moderate to severe abdominal pain

• Sexual assault, or concern that you were drugged. You can go to an emergency room for care and evidence collection whether or not you want to involve police. You do not have to decide that first.

Skin

• A skin infection spreading quickly - such as an abscess (boil) or cellulitis. Especially in the genital or pelvic area, or with fever or flu-like symptoms.

• A rash with flu-like symptoms

Other

• Feeling so sick, for any reason, that you can't safely take care of yourself

• Blood sugar over 250 mg/dL with any of: stomach pain, fatigue, weakness, vomiting, flu-like symptoms, confusion, or urinating less

• A nosebleed that won't stop after two rounds of firm, uninterrupted pressure for 15 minutes each

• A needle-stick injury or exposure to someone else's blood or body fluids

• Any symptom that feels severe or life-threatening to you

Urgent care is usually enough

You're welcome to go to an emergency room for any of these, but urgent care can typically handle them for far less cost.

• A possible broken bone

• A possible dislocated joint (knee, shoulder, hip, elbow, wrist, rib)

• Not being able to put weight on a knee, ankle, leg, foot, or hip

• A sprain with severe pain

• An animal bite

• A car accident where you feel okay but want to be checked

• An on-the-job injury

• Cuts that may need stitches, or minor burns

A note on cost: emergency rooms are expensive. If your situation is on the urgent care list and you feel stable, urgent care will usually cost you much less. If you're unsure which is right, call a nurse line. And if something feels serious, go to the ER. Your safety comes first.

After your visit — please tell us

When you're able, send us a message through the portal to let us know you were seen. It doesn't have to be right away, and it doesn't have to be detailed.

This helps us:

• Follow up on anything that needs rechecking

• Request your records so your chart is complete

• Adjust medications if the ER or urgent care started something new

• Get you scheduled if you need a follow-up visit

If you were prescribed something new, bring the bottle or a photo of the label to your next visit.

What we can help with, and when

Administrative staff are available Monday through Friday, 9:00 AM – 6:00 PM to return calls, emails, and texts. They can't answer clinical questions.

• Call: 360-727-1641

• Text: 360-314-6357

• Email: Info@LavenderSpectrumHealth.com 

Providers respond to portal messages within 72 hours and complete medication refills within 5 days.

The portal is for non-urgent questions only: routine refills, appointment requests, follow-up questions, and general questions. These are answered during regular business hours.

If your question is time-sensitive and clinical, meaning symptoms that need advice now, please don't wait on a portal message. Use a nurse line, go to urgent care, or go to an emergency room.

Full details: Portal Messaging Policies