Get Connected - Counseling Services For Wellbeing

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Get Connected...

Reaching out is the first step of your journey.

Find the right provider for you in 3 Easy Steps

Step 1: Fill out the form below.

Step 2: We’ll follow up with a phone call within a few business days.

Step 3: We’ll pair you with the best provider for your needs.

First Name

Last Name

Mobile Number

How did you hear about us?

What type of service are you looking for?

Age of Patient

I prefer to go by...

Home Zip Code

Best Date to Reach Out

Best Time to Reach Out

What insurance(s) do you have, if any?

What appointment days work best with your schedule?

Monday Tuesday Wednesday Thursday Friday Saturday

Please select 2 locations you are willing to visit for your sessions

Burien Greenlake Smokey Point Telehealth

What time of the day works best for your schedule?

Mornings Afternoons Evenings

Preferred Contact Method

E-mail Phone Either

Please note that we cannot guarantee we will be able to match you with a provider who is in network with your insurance. Please check below if you are willing to see a provider for private pay rates (typically $200 - $420 depending on the provider).

Yes, I am willing to pay private rates

What are you struggling with most right now?

Anything else you think we should know about before giving you a call?

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