FORMS

Intake forms for new clients are completed on our Client Portal. Your clinician will send you a link to the Portal.

Here are additional forms and links that may be of use, or that your clinician may ask you to complete.

Do you need to update your insurance information with us?

Debit/Credit Authorization Form

Insurance checklist for your use.

Make a Payment

Privacy Practices Notice

Send us a confidential message

Private Pay Agreement for Medicare Recipients

Family Initiated Treatment (FIT): Info for parents

Authorization to Disclose/Exchange Information

Authorization to Disclose Billing Information

Revocation of Authorization to Disclose/Exchange Information

Mount Vernon Office Info

Snohomish Office Info

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