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

NEW CLIENT FORM (ADULT)

NEW CLIENT FORM (ADULT)

18+ YEARS OLD

NEW CLIENT FORM (MINOR)

NEW CLIENT FORM (MINOR)

5-17 YEARS OLD

CREDIT CARD INFORMATION

CREDIT CARD INFORMATION

Update Financial Agreement

INSURANCE CARD INFORMATION

INSURANCE CARD INFORMATION

Update your Insurance

Acuity Counseling Locations

Seattle

Bellevue

Bothell/Woodinville

BELLEVUE, WA
Cascade Place II
12729 Northup Way, Suite 6
Bellevue WA 98005
(206) 910-9476

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

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

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