Forms and Documents

Intake Forms and Your Account Information

If you have a pressing matter, please contact us.
scheduling@acuitycounseling.net or call 206-910-9476

COUPLES COUNSELING

COUPLES COUNSELING

INTAKE FORM

NEW CLIENT FORM (ADULT)

NEW CLIENT FORM (ADULT)

18+ YEARS OLD

NEW CLIENT FORM (MINOR)

NEW CLIENT FORM (MINOR)

5-17 YEARS OLD

RELEASE OF INFORMATION FORM

RELEASE OF INFORMATION FORM

Form (ROI)

CREDIT CARD INFORMATION

CREDIT CARD INFORMATION

Update Financial Agreement

INSURANCE CARD INFORMATION

INSURANCE CARD INFORMATION

Update your Insurance

LifeStance Washington Locations

Seattle

Spokane

Bothell/Woodinville

BOTHELL/WOODINVILLE
Falcon View
12900 NE 180th St, Suite 160
Bothell, WA 98011
(206) 910-9476

SEATTLE, WA
Plaza 600 Building
600 Stewart St, Suite 1228
Seattle WA 98101
(206) 910-9476

SPOKANE
–Coming Fall 2021–
221 N Wall St.
Spokane WA 99201

(206) 910-9476

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