Get Connected... Reaching out is the first step of your journey. Order Number 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 * How did you hear about us? Primary Care Physician Other Provider Facebook Word of Mouth/Friend/Family Insurance Company School/Teacher Referral Google Search Yelp Other Age of Patient 0-5 6-10 11-17 18-20 21-30 31-40 41-50 50+ I prefer to go by... He She They Other Home Zip Code * Mobile Number * So we can call you back during business hours Email Address By providing your e-mail, you are agreeing to receive email correspondence from us. Preferred Contact Method * E-mail Phone Either Best Date and/or Time to Reach Out What type of service are you looking for? I am unsure Therapy + Medication Management Telehealth Medication Management Individual therapy Couples therapy Family therapy Psychological testing What appointment days work best with your schedule? Monday Tuesday Wednesday Thursday Friday Saturday Check all that apply 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 Check all that apply What insurance(s) do you have, if any? 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 $120 - $300 depending on the provider). Yes, I am willing to pay private rates What are you struggling with most right now? * What has been going on in your life recently? Anything else you think we should know about before giving you a call?
