Bellefield Office Park, Cedar Building


1400 112th Ave. SE, Suite 205 Bellevue


425.372.7262

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Helpful Forms

If you're a new client, please complete the following forms and bring them to your first therapy session.

Client Intake Form Technology Assisted Counseling (TAC) Consent Form
Authorization to Release Information
Therapy Consent, Policies & Agreement Form
HIPAA Form
Assignment of Benefits and Billing Authorization Form

Note: To download Adobe Acrobat Reader for free, click here


Providing therapy and counseling services for individuals, specializing in: Trauma , PTSD, Chronic Pain , Depression , Anxiety , Anger Management, Parenting Skills.

Areas Served: Issaquah, Mercer Island, Bellevue, Redmond, Seattle, Kirkland, Snoqualmie, North Bend, Sammamish, Bothell | Washington

Contact Me

Location

Availability

Primary

Monday:

9:00 am-5:00 pm

Tuesday:

9:00 am-5:00 pm

Wednesday:

9:00 am-5:00 pm

Thursday:

9:00 am-5:00 pm

Friday:

9:00 am-5:00 pm

Saturday:

9:00 AM-1:00 PM

Sunday:

Closed