New Client Intake


Estimated time to complete : 1-3 minutes

Congratulations in taking steps towards a healthier existence, and towards getting the support you need. Moving towards improvement begins with us getting to know your needs and your wants. The better we understand you, the better we can help you.

*** Please note that if you plan to use health insurance you should come to your first visit with your current insurance benefit information checked and confirmed as you may have a deductible to meet before treatment is covered by your plan. Some services we provide may not be covered by insurance - please check with us if you are not sure.


Select the primary interest, even if you intend to engage in more than one service.

 

Note that not all clinicians may be available at all locations. Not all clinicians offer mobile or telemedicine (online sessions). Insurance may not cover online sessions. Additional fees may apply for mobile sessions.

 


 

Note: In Washington state, children over the age of 13 are legally allowed to engage in their own self-directed mental health treatment without parental consent. (See Chapter 71.34 RCW) However, we fully encourage the participation of parents in their child's care.

 


 

Note: The nature of email communication means confidentiality can not be guaranteed.

 

 


You MUST click the continue button below to proceed.